ACTIVE LIFE ADULT DAY CARE, INC. (NPI# 1508226440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226440 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE ADULT DAY CARE, INC. |
| Other Organization Name | ACTIVE LIFE ADULT DAY HEALTH CARE CENTER |
| Practice Address |
7209 Tam O'shanter Dr. Stockton CA 95210 |
| Mailing Address |
7209 Tam O'shanter Dr Unit D Stockton CA 95210-3370 |
| Practice Telephone | 6266436003 |
| Practice Fax Number | 2092674193 |
| Mailing Telephone | 6266436003 |
| Mailing Fax Number | 2092674193 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | ARA KARAMANOUKIAN (PRESIDENT) |
| Authorized Official Telephone | 6266436003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Active Life Adult Day Health Care Center | Doing Business As Name - Organization |
| Street Address |
7209 TAM O'SHANTER DR. |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316164379 | Carpenter Guest Homes Inc | Clinic/Center | 3446 Pock Ln, Stockton, CA 95205-8022 | 2007-04-19 |
| 1699866277 | Senior Service Agency of San Joaquin County,inc. | Clinic/Center | 224 S Sutter St, Stockton, CA 95203-3541 | 2006-09-27 |
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| 1881291326 | Comfort Care Adult Day Health Care Center Inc. | Clinic/Center | 3401 Rio Hondo Ave, El Monte, CA 91731-2919 | 2020-10-07 |
| 1972114890 | Square Health, LLC | Clinic/Center | 17057 Foothill Blvd Ste 101, Fontana, CA 92335-3574 | 2020-08-13 |
| 1598375172 | Oc Health, Inc. | Clinic/Center | 319 E Ball Rd, Anaheim, CA 92805-6313 | 2020-08-07 |
| 1023626058 | Sk Health LLC | Clinic/Center | 14619 S Western Ave, Gardena, CA 90249-3305 | 2020-07-15 |
| 1790393718 | Angeles Del Sol Adhc, LLC | Clinic/Center | 820 N Diamond Bar Blvd, Diamond Bar, CA 91765-1039 | 2020-07-15 |
| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
| 1952937203 | Golden Life Adult Day Care Services, Inc | Clinic/Center | 15541 Ashley Ave, Westminster, CA 92683-6901 | 2020-03-19 |
| 1326674672 | Royal Care Adult Day Health Care, Inc | Clinic/Center | 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 | 2020-03-19 |
| 1780210476 | Unique Adult Day Healthcare Inc. | Clinic/Center | 14127 S Tajauta Ave, Compton, CA 90222-3729 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| 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.