ACTIVE SC TWO, INC. (NPI# 1548300718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548300718 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC TWO, INC. |
| Other Organization Name | SOCIETY HILL ACTIVE DAY CENTER |
| Practice Address |
1118 S Main St Society Hill SC 29593-8989 |
| Mailing Address |
400 Redland Ct Suite 114 Owings Mills MD 21117-3270 |
| Practice Telephone | 8433780157 |
| Practice Fax Number | 8433780158 |
| Mailing Telephone | 4435482200 |
| Mailing Fax Number | 4435482260 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | KRIS W. BALDOCK (CHAIRMAN, CEO, PRESIDENT) |
| Authorized Official Telephone | 4435482201 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0428 | 05 |
| Other Name | Type Code |
|---|---|
| Society Hill Active Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245370543 | Active Sc Two, Inc. | Clinic/Center | 315 W Front St, Liberty, SC 29657-1011 | 2007-02-07 |
| 1497895627 | Active Sc Two, Inc. | Clinic/Center | 8205 E Main St, Suite A, Ridgeland, SC 29936-8576 | 2007-02-07 |
| 1578603064 | Active Sc Two, Inc. | Respite Care | 2902 Highmarket St, Georgetown, SC 29440-2918 | 2007-02-07 |
| 1649310020 | Active Sc Two, Inc. | Respite Care | 736 S Line Street Ext, Greer, SC 29651-4027 | 2007-02-07 |
| 1528145927 | Active Sc Two, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
1118 S MAIN ST |
| City | SOCIETY HILL |
| State | SC |
| Zip Code | 29593-8989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1366456634 | Society Hill Pharmacy | Durable Medical Equipment & Medical Supplies | 743 S Main St, Society Hill, SC 29593 | 2006-07-29 |
| 1285172452 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2017-02-07 |
| 1669837936 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2015-12-30 |
| 1154742856 | Society Hill Rescue Squad | Ambulance | 280 South Main Street, Society Hill, SC 29593 | 2013-12-23 |
| 1851938260 | Barbara Squire | Technician | 205 Keith Dr, Society Hill, SC 29593-8968 | 2019-12-04 |
| 1295711612 | Sean G Boynes | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2005-12-17 |
| 1861976839 | Travis Andre Russell | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-09-17 |
| 1679067045 | Crystal Rosser | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-19 |
| Find all providers in zip 29593 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998557 | Om Hari LLC | Clinic/Center | 100 Business Pkwy # A-c, Piedmont, SC 29673-6707 | 2020-06-26 |
| 1609490101 | Circle of Life Adult Daycare | Clinic/Center | 159 Commons Way, Greenville, SC 29611-3850 | 2020-06-01 |
| 1720608045 | Daily Living Adc of Florence LLC | Clinic/Center | 500 Pamplico Hwy Ste F, Florence, SC 29505-6051 | 2020-04-17 |
| 1881229649 | Aijan Gracefully LLC | Clinic/Center | 812 Hellams St, Fountain Inn, SC 29644-9445 | 2020-03-11 |
| 1750928511 | Marilyn Harper | Clinic/Center | 156 Hillock Ct, Orangeburg, SC 29115-9182 | 2019-11-28 |
| 1740821537 | The Blake Adult Day Care LLC | Clinic/Center | 832 Main St S, Allendale, SC 29810-4202 | 2019-10-02 |
| 1467004705 | Good Samaritan Adult Day Care | Clinic/Center | 473 Kindale Park Rd, Kingstree, SC 29556-5182 | 2019-07-16 |
| 1174085948 | Simmons Adult Day Care, LLC | Clinic/Center | 2175 Johnsville Road, Smoaks, SC 29481-2948 | 2019-04-02 |
| 1275099178 | Flint Hill Community Adult Day Care | Clinic/Center | 371 Lige St, Rock Hill, SC 29730-5634 | 2019-02-15 |
| 1962970012 | Daily Living Adc LLC | Clinic/Center | 1307 N Longstreet St, Kingstree, SC 29556-2739 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SOCIETY HILL |
| Zip Code | 29593 |
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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.