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Acitve Day in, Inc.

Organization Active NPI Adult Day Care Clinic/Center · Indianapolis, IN

NPI 1124952932 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1124952932
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
ACITVE DAY IN, INC.
Practice address
2225 Shelby St
Indianapolis, IN 46203-4260
Phone
(317) 296-8811
NPI assigned
Jun 9, 2026
Organization subpart
No

Authorized official

Name
Selena Dawn Deshazor
Title
Manager of Contracts and Licensing
Phone
(215) 642-6600

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Active Day in Inc (18 organizations share this tax ID)

Locations

2225 Shelby St
Indianapolis, IN 46203
Phone (317) 296-8811

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Yes
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

2225 Shelby St
Indianapolis, IN 46203-4260

Mailing address

6 Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2026.

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1124952932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 INTERPLEX DR STE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "215-642-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034260",
            "telephone_number": "317-296-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACITVE DAY IN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "DESHAZOR",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER OF CONTRACTS AND LICENSING",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Adult Day Care Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.