Active Life Adult Day Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ACTIVE LIFE ADULT DAY CARE, INC.

Doing business as

Active Life Adult Day Health Care Center

Practice address

7209 Tam O'Shanter Dr.
Stockton, CA 95210

Phone

(626) 643-6003

Fax

(209) 267-4193

NPI assigned

Mar 4, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ara Karamanoukian

Title

President

Phone

(626) 643-6003

Specialties & licenses 1

Addresses

Other names 1

• Active Life Adult Day Health Care Center Doing business as

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1508226440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 TAM O'SHANTER DR",
            "address_2": "UNIT D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103370",
            "telephone_number": "626-643-6003",
            "fax_number": "209-267-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 TAM O'SHANTER DR.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95210",
            "telephone_number": "626-643-6003",
            "fax_number": "209-267-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KARAMANOUKIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-643-6003"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Life Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.