NPIMap

Organization Active NPI

Active Day Ky, Inc.

  • Adult Day Care Clinic/Center
  • Fort Thomas, KY
National Provider Identifier
1295873032
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY KY, INC.
Practice address
90 Alexandria Pike
Suite 4-7
Fort Thomas, KY 41075-4108
Phone
(859) 442-7000
Fax
(859) 441-6180
NPI assigned
Feb 2, 2007
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Developmental Disabilities Clinic/Center 261QD1600X KY
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

90 Alexandria Pike
Suite 4-7
Fort Thomas, KY 41075-4108

Mailing address

6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600

Other identifiers 1

IdentifierTypeStateIssuer
4300083500MedicaidKY

Other names 1

  • Active Day of Fort Thomas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0992802Active Day of Ft Thomas90 Alexandria Pike Suite 4, Fort Thomas, KY 41075Certificate of waiverOct 24, 2027

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 Inc

Other organizations with this tax ID 7

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

Locations

90 Alexandria Pike
Ste 4
Fort Thomas, KY 41075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1473379200000",
    "number": "1295873032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX DR",
            "address_2": "SUITE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536964",
            "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": "90 ALEXANDRIA PIKE",
            "address_2": "SUITE 4-7",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754108",
            "telephone_number": "859-442-7000",
            "fax_number": "859-441-6180"
        }
    ],
    "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": "2016-09-09",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300083500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Fort Thomas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.