NPIMap

Organization Active NPI

Active Day in, Inc.

Doing business as Active Day of Mishawaka

  • Adult Day Care Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1689107740
Registry record updated Apr 6, 2017
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 Mishawaka
Practice address
3607 Grape Rd
Mishawaka, IN 46545-2753
Phone
(215) 642-6600
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 NU Primary

Addresses

Primary practice location

3607 Grape Rd
Mishawaka, IN 46545-2753

Mailing address

6 Neshaminy Interplex
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600

Other names 1

  • Active Day of Mishawaka 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

Locations

3607 Grape Rd
Mishawaka, IN 46545

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1689107740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX",
            "address_2": "SUITE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536964",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 GRAPE RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452753",
            "telephone_number": "215-642-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY IN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Mishawaka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.