Active NPI
Active Day in, Inc.
Doing business as Active Day of Indianapolis South
- Adult Day Care Clinic/Center
- Indianapolis, IN
National Provider Identifier
1952552234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ACTIVE DAY IN, INC.
- Doing business as
- Active Day of Indianapolis South
- Practice address
- 5425 Victory Dr
Indianapolis, IN 46203-5954 - Phone
- (317) 783-2155
- NPI assigned
- Oct 6, 2008
- Last updated
- Apr 6, 2017
- Organization subpart
- Yes
- Parent organization
- ACTIVE DAY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Mehnert
- Title
- Coo
- Phone
- (215) 642-6600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary | |
| Rehabilitation Clinic/Center | 261QR0400X | NU | ||
| Respite Care | 385H00000X | IN |
Addresses
Primary practice location
5425 Victory Dr
Indianapolis, IN 46203-5954
Mailing address
6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200882150A-E | Medicaid | IN |
Other names 1
- Active Day of Indianapolis South
National Provider Directory
National Provider Directory- Part of
- Active Day
Locations
5425 Victory Dr
Indianapolis, IN 46203
Phone (317) 783-2155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1952552234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NESHAMINY INTERPLEX DR",
"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": "5425 VICTORY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462035954",
"telephone_number": "317-783-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE DAY IN, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACTIVE DAY, INC.",
"enumeration_date": "2008-10-06",
"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"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200882150A-E",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Day of Indianapolis South",
"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 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.