Acsr, Inc.
Organization Active NPI Adult Day Care Clinic/Center · Georgetown, KY
NPI 1053459701 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1053459701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- ACSR, INC.
- Practice address
- 100 St. Luke PL
Suite B
Georgetown, KY 40324 - Phone
- (502) 863-7900
- Fax
- (502) 863-0094
- NPI assigned
- Feb 2, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACTIVE DAY, INC.
Authorized official
- Name
- Craig Mehnert
- Title
- Coo
- Phone
- (215) 642-6600
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Acsr Inc
- Part of
- Active Day Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
100 St. Luke PL
Suite B
Georgetown, KY 40324
Mailing address
7 Neshaminy Interplex Dr
Suite 403
Trevose, PA 19053-6927
Phone (215) 642-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301105500 | Medicaid | KY | |
| 3300020900 | Medicaid | KY |
Other names
- Active Day of Georgetown
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All providers in Georgetown, KY · Adult Day Care Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.