NPIMap

Organization Active NPI

Active SC One, Inc.

Doing business as Active Day of Florence

  • Adult Day Care Clinic/Center
  • Florence, SC
National Provider Identifier
1891443685
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE SC ONE, INC.
Doing business as
Active Day of Florence
Practice address
2111 W Jody Rd
Florence, SC 29501-2031
Phone
(843) 629-0103
Fax
(843) 664-0184
NPI assigned
Mar 11, 2022
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Debora Hockenbury
Title
Contracts & Regulatory MGR
Phone
(215) 642-6600

Specialties & licenses 1

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

Addresses

Primary practice location

2111 W Jody Rd
Florence, SC 29501-2031

Mailing address

6 Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

Other names 1

  • Active Day of Florence Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2268530Active Day of Florence2111 W Jody Road, Florence, SC 29501Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Active SC One Inc16 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1891443685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 INTERPLEX DR STE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "215-642-6600",
            "fax_number": "215-827-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W JODY RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012031",
            "telephone_number": "843-629-0103",
            "fax_number": "843-664-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SC ONE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY INC",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "HOCKENBURY",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "CONTRACTS & REGULATORY MGR",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "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 Florence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.