ACTIVE SC TWO, INC. (NPI# 1578603064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578603064 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC TWO, INC. |
| Other Organization Name | GEORGETOWN ACTIVE DAY CENTER |
| Practice Address |
2902 Highmarket St Georgetown SC 29440-2918 |
| Mailing Address |
6 Neshaminy Interplex Dr Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 8435462055 |
| Practice Fax Number | 8435464435 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | DEBORA HOCKENBURY (CONTRACTS MANAGER) |
| 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 | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0632 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Georgetown | Doing Business As Name - Organization |
| Georgetown Active Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548300718 | Active Sc Two, Inc. | Clinic/Center | 1118 S Main St, Society Hill, SC 29593-8989 | 2007-02-07 |
| 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 |
| 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 |
2902 HIGHMARKET ST |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955615 | Katie Faulkner | Occupational Therapist | 2902 Highmarket St, Georgetown, SC 29440-2918 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| 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 | GEORGETOWN |
| Zip Code | 29440 |
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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.