Organization Active NPI

Active Day in, Inc.

Doing business as Active Day of Indianapolis West

  • Adult Day Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1518149707
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY IN, INC.
Doing business as
Active Day of Indianapolis West
Practice address
7545 Rockville Rd
Indianapolis, IN 46214-3073
Phone
(317) 271-2939
Fax
(317) 271-1923
NPI assigned
Nov 29, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mr. Craig Mehnert
Title
Coo
Phone
(215) 642-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X IN Primary

Addresses

Primary practice location

7545 Rockville Rd
Indianapolis, IN 46214-3073

Mailing address

7 Neshaminy Interplex Dr
Trevose, PA 19053-6927
Phone (215) 642-6600

Other identifiers 1

IdentifierTypeStateIssuer
200882150 BMedicaidIN

Other names 1

  • Active Day of Indianapolis West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day in Inc18 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1518149707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NESHAMINY INTERPLEX DR",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536927",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143073",
            "telephone_number": "317-271-2939",
            "fax_number": "317-271-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY IN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-11-29",
        "last_updated": "2011-12-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200882150 B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Indianapolis West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.