Organization Active NPI

Acitve Day in, Inc.

  • Adult Day Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1124952932
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 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
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
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

National Provider Directory

National Provider Directory
Tax ID family
Active Day in Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.