Active NPI
Acsr, Inc.
Doing business as Active Day of Russell Springs
- Adult Day Care Clinic/Center
- Russell Springs, KY
National Provider Identifier
1316086853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ACSR, INC.
- Doing business as
- Active Day of Russell Springs
- Practice address
- 1165 Lakeway Dr
Russell Springs, KY 42642-4564 - Phone
- (270) 866-4877
- Fax
- (270) 866-4978
- NPI assigned
- Feb 5, 2007
- Last updated
- Jun 20, 2016
- Organization subpart
- Yes
- Parent organization
- ACTIVE DAY, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
1165 Lakeway Dr
Russell Springs, KY 42642-4564
Mailing address
6 Neshaminy Interplex
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33000308 | Other | KY | SCL |
| 4302104700 | Medicaid | KY | |
| 3300030800 | Medicaid | KY |
Other names 1
- Active Day of Russell Springs
National Provider Directory
National Provider Directory- Tax ID family
- Acsr Inc
- Part of
- Active Day
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Brownsville Transportation Center
- Transportation Broker
- Brownsville, KY
- NPI 1013043470
-
dba Active Day of Russellville
- Adult Day Care Clinic/Center
- Russellville, KY
- NPI 1578602033
-
dba Active Day of Bowling Green
- Adult Day Care Clinic/Center
- Bowling Green, KY
- NPI 1669510517
-
dba Active Day of Campbellsville
- Adult Day Care Clinic/Center
- Campbellsville, KY
- NPI 1740328566
-
dba Active Day of Brownsville
- Adult Day Care Clinic/Center
- Brownsville, KY
- NPI 1770621534
-
dba Active Day of Hopkinsville
- Adult Day Care Clinic/Center
- Hopkinsville, KY
- NPI 1881732501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466380800000",
"number": "1316086853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NESHAMINY INTERPLEX",
"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": "1165 LAKEWAY DR",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426424564",
"telephone_number": "270-866-4877",
"fax_number": "270-866-4978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACSR, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACTIVE DAY, INC.",
"enumeration_date": "2007-02-05",
"last_updated": "2016-06-20",
"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": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCL",
"identifier": "33000308",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4302104700",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3300030800",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Day of Russell Springs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Russell Springs, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.