NPIMap

Organization Active NPI

Active SC Two, Inc.

Doing business as Ridgeland Active Day Center

  • Adult Day Care Clinic/Center
  • Ridgeland, SC
National Provider Identifier
1497895627
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE SC TWO, INC.
Doing business as
Ridgeland Active Day Center
Practice address
8205 E Main St
Suite a
Ridgeland, SC 29936-8576
Phone
(843) 726-6077
Fax
(843) 726-6074
NPI assigned
Feb 7, 2007
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2008

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)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

8205 E Main St
Suite a
Ridgeland, SC 29936-8576

Mailing address

400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200

Other identifiers 1

IdentifierTypeStateIssuer
EX0426MedicaidSC

Other names 1

  • Ridgeland Active Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active SC Two Inc7 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 6

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

Locations

8205 E Main St
Ste A
Ridgeland, SC 29936
Phone (843) 726-6077

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1497895627",
    "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": "8205 E MAIN ST",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368576",
            "telephone_number": "843-726-6077",
            "fax_number": "843-726-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SC TWO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-05-13",
        "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": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0426",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeland Active Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.