ACTIVE DAY KY, INC. (NPI# 1578602819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578602819 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY KY, INC. |
| Other Organization Name | ACTIVE DAY OF ELIZABETHTOWN |
| Practice Address |
1238 Woodland Dr Elizabethtown KY 42701-2767 |
| Mailing Address |
6 Neshaminy Interplex Dr Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 2707639192 |
| Practice Fax Number | 2707639279 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | CRAIG 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 | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1700067000 | 05 | |
| KY | 3300128000 | 05 | |
| KY | 4300086800 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Elizabethtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851430367 | Active Day Ky, Inc. | Clinic/Center | 1920 Goldsmith Ln, Suite 100, Louisville, KY 40218-2073 | 2007-02-05 |
| 1891833521 | Active Day Ky, Inc. | Clinic/Center | 191 W Lowry Ln, Lexington, KY 40503-3016 | 2007-02-02 |
| 1235277971 | Active Day Ky, Inc. | Clinic/Center | 1035 Frederica St, Suite 170, Owensboro, KY 42301-3074 | 2007-02-02 |
| 1477691301 | Active Day Ky, Inc. | Clinic/Center | 1297 Springfield Rd, Bardstown, KY 40004-2219 | 2007-02-02 |
| 1043244379 | Active Day Ky, Inc. | Clinic/Center | 3403 Breckenridge Ln, Louisville, KY 40220-3101 | 2006-07-11 |
| 1831234483 | Active Day Ky, Inc. | Clinic/Center | 3403 Breckenridge Ln, Louisville, KY 40220-3101 | 2007-02-21 |
| 1558400978 | Active Day Ky, Inc. | Clinic/Center | 3403 Breckenridge Ln, Louisville, KY 40220-3101 | 2007-02-05 |
| 1295873032 | Active Day Ky, Inc. | Clinic/Center | 90 Alexandria Pike, Suite 4-7, Fort Thomas, KY 41075-4108 | 2007-02-02 |
| Street Address |
1238 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423270 | Advantage Health Club | Clinic/Center | 1711 Destiny Ln Ste 112, Bowling Green, KY 42104-1067 | 2020-07-02 |
| 1356974646 | Buena Vida Adhc, LLC | Clinic/Center | 4620 Preston Hwy, Louisville, KY 40213-2146 | 2020-02-15 |
| 1760037188 | Be Positive | Clinic/Center | 4511 Bardstown Rd Ste 1017, Louisville, KY 40218-4001 | 2019-08-02 |
| 1467004069 | Allied Adult Day Care, LLC | Clinic/Center | 4026 Frederica St, Owensboro, KY 42301-7427 | 2019-07-12 |
| 1154983898 | Freedom Day Healthcare, LLC | Clinic/Center | 195 N Buckman St Ste 2, Shepherdsville, KY 40165-5901 | 2019-07-02 |
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1508426008 | Adult Day Health, Inc. | Clinic/Center | 325 Keen Street, Burkesville, KY 42717 | 2019-06-17 |
| 1912567637 | Adult Day Health, Inc. | Clinic/Center | 517b N 15th St, Middlesboro, KY 40965-1125 | 2019-06-14 |
| 1609436328 | Adult Day Health, Inc. | Clinic/Center | 619 Danville Ave, Stanford, KY 40484-1022 | 2019-06-14 |
| 1346800067 | Adult Day Health, Inc. | Clinic/Center | 101 Industrial Park Rd Ste 2, Greensburg, KY 42743-1383 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.