Organization Active NPI

Acsr, Inc.

  • Rehabilitation Clinic/Center
  • Somerset, KY
National Provider Identifier
1992840086
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ACSR, INC.
Practice address
20 Oak Hill Rd
Oakhill Center
Somerset, KY 42503-1002
Phone
(606) 678-8566
Fax
(606) 677-9863
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
ACTIVE DAY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Kris W. Baldock
Title
Chairman, Ceo, President
Phone
(443) 548-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

20 Oak Hill Rd
Oakhill Center
Somerset, KY 42503-1002

Mailing address

400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200

Other identifiers 1

IdentifierTypeStateIssuer
18-6640MedicaidKY

Other names 1

  • Active Day of Somerset Doing business as

National Provider Directory

National Provider Directory
Part of
Active Day Inc

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1992840086",
    "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": "20 OAK HILL RD",
            "address_2": "OAKHILL CENTER",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031002",
            "telephone_number": "606-678-8566",
            "fax_number": "606-677-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
        "authorized_official_telephone_number": "443-548-2201"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-6640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Somerset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.