Active NPI
Acsr, Inc.
Doing business as Active Day of Somerset (CORF)
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Somerset, KY
National Provider Identifier
1407995210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- ACSR, INC.
- Doing business as
- Active Day of Somerset (CORF)
- Practice address
- 20 Oak Hill Rd
Oakhill Center
Somerset, KY 42503-1002 - Phone
- (606) 676-0808
- Fax
- (606) 677-2775
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kris W. Baldock
- Title
- Chairman, Ceo, President
- Phone
- (443) 548-2201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | NU | Primary |
Addresses
Primary practice location
20 Oak Hill Rd
Oakhill Center
Somerset, KY 42503-1002
Mailing address
400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9100000000 | Medicaid | KY |
Other names 1
- Active Day of Somerset (CORF)
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407995210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 REDLAND CT",
"address_2": "SUITE 114",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173270",
"telephone_number": "443-548-2200",
"fax_number": "443-548-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OAK HILL RD",
"address_2": "OAKHILL CENTER",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031002",
"telephone_number": "606-676-0808",
"fax_number": "606-677-2775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACSR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "KRIS",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
"authorized_official_telephone_number": "443-548-2201"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9100000000",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Day of Somerset (CORF)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.