Active SC One, Inc.
Organization Active NPI Adult Day Care Clinic/Center · Greenwood, SC
NPI 1801936232 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1801936232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- ACTIVE SC ONE, INC.
- Practice address
- 228 N Creek Blvd
Greenwood, SC 29649-9006 - Phone
- (864) 388-0045
- Fax
- (864) 388-0464
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACTIVE DAY, INC.
Authorized official
- Name
- Debora Hockenbury
- Title
- Contracts Manager
- Phone
- (215) 642-6600
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Active SC One Inc
- Part of
- Active Day Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes | ||
| Respite Care | 385H00000X | SC |
Addresses
Primary practice location
228 N Creek Blvd
Greenwood, SC 29649-9006
Mailing address
6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0422 | Medicaid | SC |
Other names
- Active Day of Greenwood
- Greenwood Active Day Center
Other providers in Greenwood, SC
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- Steve M Ackerman
- William Gray Ackerman
- Wilson Herbert Ackerman
- Active Family Chiropractic LLC
- Active SC Pca, Inc.
- Chandler Balentine Adams
- Francis Wates Adams Jr.
- Lauren Adams
- Matthew Adams
All providers in Greenwood, SC · Adult Day Care Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.