Active NPI
Acsr, Inc.
Doing business as Active Day of Louisville Audubon Park
- Adult Day Care Clinic/Center
- Louisville, KY
National Provider Identifier
1962540864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ACSR, INC.
- Doing business as
- Active Day of Louisville Audubon Park
- Practice address
- 3795 Poplar Level Rd
Louisville, KY 40213-1044 - Phone
- (502) 479-8802
- Fax
- (502) 479-8804
- NPI assigned
- Feb 2, 2007
- Last updated
- Sep 26, 2011
- 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
- Kris W. Baldock
- Title
- President
- Phone
- (443) 548-2201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
3795 Poplar Level Rd
Louisville, KY 40213-1044
Mailing address
400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301456200 | Medicaid | KY | |
| 3300096900 | Medicaid | KY |
Other names 1
- Active Day of Louisville Audubon Park
National Provider Directory
National Provider Directory- Tax ID family
- Morgantown Transportation Center
- Part of
- Active Day
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Brownsville Transportation Center
- Transportation Broker
- Brownsville, KY
- NPI 1013043470
-
dba Active Day of Russell Springs
- Adult Day Care Clinic/Center
- Russell Springs, KY
- NPI 1316086853
-
dba Active Day of Russellville
- Adult Day Care Clinic/Center
- Russellville, KY
- NPI 1578602033
-
dba Active Day of Bowling Green
- Adult Day Care Clinic/Center
- Bowling Green, KY
- NPI 1669510517
-
dba Active Day of Campbellsville
- Adult Day Care Clinic/Center
- Campbellsville, KY
- NPI 1740328566
-
dba Active Day of Brownsville
- Adult Day Care Clinic/Center
- Brownsville, KY
- NPI 1770621534
Locations
3795 Poplar Level Rd
Louisville, KY 40213
Phone (502) 479-8802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1962540864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 REDLAND CT",
"address_2": "SUITE 114",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173270",
"telephone_number": "443-548-2200",
"fax_number": "443-548-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 POPLAR LEVEL RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402131044",
"telephone_number": "502-479-8802",
"fax_number": "502-479-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACSR, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACTIVE DAY, INC.",
"enumeration_date": "2007-02-02",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "KRIS",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-548-2201"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301456200",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3300096900",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Day of Louisville Audubon Park",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.