NPIMap

Organization Active NPI

Active Day in Inc

Doing business as Active Day of Lafayette

  • Adult Day Care Clinic/Center
  • Lafayette, IN
National Provider Identifier
1992965040
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY IN INC
Doing business as
Active Day of Lafayette
Practice address
3922 Mezzanine Drive
Lafayette, IN 47905
Phone
(765) 446-7128
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Kris W Baldock
Title
Ceo President
Phone
(443) 548-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X IN Primary

Addresses

Primary practice location

3922 Mezzanine Drive
Lafayette, IN 47905

Mailing address

3922 Mezzanine Drive
Lafayette, IN 47905
Phone (765) 446-7128

Other names 1

  • Active Day of Lafayette Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day in Inc18 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1992965040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 MEZZANINE DRIVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-446-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 MEZZANINE DRIVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-446-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY IN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY INC",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "443-548-2200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.