Organization Active NPI

Acsr, Inc.

Doing business as Active Day of Louisville Audubon Park

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1962540864
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4301456200MedicaidKY
3300096900MedicaidKY

Other names 1

  • Active Day of Louisville Audubon Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgantown Transportation Center23 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 22

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

View all 22

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.

Verify at the official NPI Registry.