ACTIVE DAY ADULT SOCIAL SERVICES


Address: 20 Jackson St Ste 1a, Freehold, NJ 07728-2476
Phone: 7328453332

ACTIVE DAY ADULT SOCIAL SERVICES (NPI# 1366821241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366821241
Entity Type Organization
Organization Name ACTIVE DAY ADULT SOCIAL SERVICES
Other Organization Name ACTIVE DAY ADULT SERVICES
Practice Address 20 Jackson St Ste 1a
Freehold
NJ 07728-2476
Practice Telephone 7328453332
Practice Fax Number 7328453339
Mailing Telephone 7328453332
Mailing Fax Number 7328453339
Enumeration Date 2015-05-25
Last Update Date 2016-01-14
Authorized Official Name TATIANA LARINA (MANAGER)
Authorized Official Telephone 7328516640
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services NJ Agencies
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
13008 NJ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Active Day Adult Services Doing Business As Name - Organization

Office Location

Street Address 20 JACKSON ST STE 1A
City FREEHOLD
State NJ
Zip Code 07728-2476

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164605234 Golden Years Care LLC Clinic/Center 20 Jackson St, 1a, Freehold, NJ 07728-2476 2007-12-12

Providers in the same taxonomy and state

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1699329094 Prestigious Adult Day Care, Inc. Clinic/Center 7 Broad Ave Ste 301, Palisades Park, NJ 07650-1886 2019-07-25
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Competitor

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City FREEHOLD
Zip Code 07728

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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