NPIMap

Organization Active NPI

Active Day Ky, Inc.

Doing business as Active Day of Owensboro

  • Adult Day Care Clinic/Center
  • Owensboro, KY
National Provider Identifier
1235277971
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY KY, INC.
Doing business as
Active Day of Owensboro
Practice address
1035 Frederica St
Suite 170
Owensboro, KY 42301-3074
Phone
(270) 683-6127
Fax
(270) 683-3072
NPI assigned
Feb 2, 2007
Last updated
Dec 2, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Craig Mehnert
Title
Coo
Phone
(215) 642-6600

Specialties & licenses 2

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

Addresses

Primary practice location

1035 Frederica St
Suite 170
Owensboro, KY 42301-3074

Mailing address

7 Neshaminy Interplex Dr
Suite 403
Trevose, PA 19053-6927
Phone (215) 642-6600

Other identifiers 2

IdentifierTypeStateIssuer
4300085000MedicaidKY
3300132200MedicaidKY

Other names 1

  • Active Day of Owensboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day Ky Inc8 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 7

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

Locations

4598 Lucky Strike Loop
Owensboro, KY 42303

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1235277971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NESHAMINY INTERPLEX DR",
            "address_2": "SUITE 403",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536927",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 FREDERICA ST",
            "address_2": "SUITE 170",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013074",
            "telephone_number": "270-683-6127",
            "fax_number": "270-683-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY KY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "MEHNERT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300085000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300132200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Owensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.