ACTIVE DAY IN, INC. (NPI# 1508301433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301433 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY IN, INC. |
| Other Organization Name | ACTIVE DAY OF MOLINE |
| Practice Address |
4011 Avenue of The Cities Suite 102 Moline IL 61265-4454 |
| Mailing Address |
6 Neshaminy Interplex Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 3097970200 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | CRAIG O MEHNERT (COO) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Active Day of Moline | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689107740 | Active Day In, Inc. | Clinic/Center | 3607 Grape Rd, Mishawaka, IN 46545-2753 | 2017-04-06 |
| 1134352008 | Active Day In, Inc. | Clinic/Center | 8680 Broadway, Merrillville, IN 46410-7034 | 2009-08-26 |
| 1952552234 | Active Day In, Inc. | Clinic/Center | 5425 Victory Dr, Indianapolis, IN 46203-5954 | 2008-10-06 |
| 1881139715 | Active Day In, Inc. | Clinic/Center | 1818 Ridge Rd, #1 West, Homewood, IL 60430-1762 | 2017-01-02 |
| 1326583253 | Active Day In, Inc. | Clinic/Center | 900 Skyline Dr, Suite 301, Marion, IL 62959-4972 | 2017-01-02 |
| 1790956225 | Active Day In, Inc. | Clinic/Center | 7701 W Kilgore Ave, Suite 5, Yorktown, IN 47396-9290 | 2008-03-12 |
| 1518149707 | Active Day In, Inc. | Clinic/Center | 7545 Rockville Rd, Indianapolis, IN 46214-3073 | 2007-11-29 |
| 1215119409 | Active Day In, Inc. | Clinic/Center | 1101 Park Dr, Munster, IN 46321-2544 | 2007-11-29 |
| 1447432638 | Active Day In, Inc. | Clinic/Center | 9615 N College Ave, Indianapolis, IN 46280-1627 | 2007-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ACTIVE DAY IN, INC. | 6 Neshaminy Interplex, Ste 401, Trevose, PA 19053-6942 |
| Indiana Business Entities | ACTIVE DAY IN, INC. | 6 Neshaminy Interplex, Ste 401, Feasterville Trevose, PA 19053 |
| Street Address |
4011 AVENUE OF THE CITIES SUITE 102 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174926869 | Lutheran Social Services of Illinois | In Home Supportive Care | 4011 Avenue of The Cities, Suite 102, Moline, IL 61265-4454 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987735 | Osf Healthcare System | Clinic/Center | 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 | 2018-09-27 |
| 1083190920 | St. John's Healing Community Board | Clinic/Center | 1015b Century Dr, Edwardsville, IL 62025-3772 | 2018-07-13 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1871003335 | Center for Seniors | Clinic/Center | 8900 Capitol Dr, Wheeling, IL 60090-7203 | 2017-10-10 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1306398656 | Naperville Senior Center Adult Day Services | Clinic/Center | 1504 N Naper Blvd Ste 120, Naperville, IL 60563-4819 | 2016-11-02 |
| 1598218604 | 3ys Service, Inc | Clinic/Center | 914 E 54th St, Chicago, IL 60615-5018 | 2016-07-26 |
| 1962896431 | Presence Heritage Day Break | Clinic/Center | 1025 N Washington Ave, Kankakee, IL 60901-2059 | 2015-03-23 |
| 1700281011 | Starlight Adult Day Care Dba Forever Young Adult Day Services, Inc. | Clinic/Center | 6700 N Lincoln Ave, Lincolnwood, IL 60712-3607 | 2014-10-29 |
| 1588073753 | The Golden Years Adult Day Center LLC | Clinic/Center | 7 N 44th St, Belleville, IL 62226-5543 | 2014-08-12 |
| 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.