Organization Active NPI

Active Day Oh, Inc.

  • Adult Day Care Clinic/Center
  • Eastlake, OH
National Provider Identifier
1396447553
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY OH, INC.
Practice address
34099 Melinz Pkwy Unit K
Eastlake, OH 44095-4001
Phone
(440) 942-6200
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Stephanie Vanschaick
Title
Regulatory and Contract Analyst
Phone
(215) 642-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

34099 Melinz Pkwy Unit K
Eastlake, OH 44095-4001

Mailing address

6 Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (267) 917-6899

Other names 1

  • Active Day of Eastlake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day Oh Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

34099 Melinz Pkwy
Unit K
Eastlake, OH 44095
Phone (440) 942-6200

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1396447553",
    "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": "267-917-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34099 MELINZ PKWY UNIT K",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440954001",
            "telephone_number": "440-942-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY OH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "VANSCHAICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "REGULATORY AND CONTRACT ANALYST",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Eastlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.