Active Day in Inc
Organization Active NPI Adult Day Care Clinic/Center · Lafayette, IN
NPI 1992965040 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1992965040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- ACTIVE DAY IN INC
- Practice address
- 3922 Mezzanine Drive
Lafayette, IN 47905 - Phone
- (765) 446-7128
- NPI assigned
- Jun 12, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ACTIVE DAY INC
Authorized official
- Name
- Kris W Baldock
- Title
- Ceo President
- Phone
- (443) 548-2200
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Active Day in Inc
- Part of
- Active Day Inc
Locations
3922 Mezzanine Dr
Lafayette, IN 47905
Phone (765) 446-7128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | IN | Yes |
Addresses
Primary practice location
3922 Mezzanine Drive
Lafayette, IN 47905
Mailing address
3922 Mezzanine Drive
Lafayette, IN 47905
Phone (765) 446-7128
Other names
- Active Day of Lafayette
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All providers in Lafayette, IN · Adult Day Care Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.