ACTIVE SC ONE, INC. (NPI# 1619017027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619017027 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC ONE, INC. |
| Other Organization Name | ACTIVE DAY OF GRAND STRAND |
| Practice Address |
3880 Houndsfield Ave Myrtle Beach SC 29577-5792 |
| Mailing Address |
6 Neshaminy Interplex Dr Ste 401 Trevose PA 19053-6942 |
| Practice Telephone | 8436268501 |
| Practice Fax Number | 8439168858 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0429 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Grand Strand | Doing Business As Name - Organization |
| Grand Strand Active Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801936232 | Active Sc One, Inc. | Respite Care | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-07 |
| 1073086377 | Active Sc One, Inc. | Respite Care | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2019-01-09 |
| 1336696731 | Active Sc One, Inc. | Clinic/Center | 230 Giles Dr, Boiling Springs, SC 29316-6036 | 2016-09-02 |
| 1982744272 | Active Sc One, Inc. | Respite Care | 2120 Enterprise Dr, Florence, SC 29501-1104 | 2007-02-07 |
| 1265571418 | Active Sc One, Inc. | Clinic/Center | 1954 Ashley River Rd, Charleston, SC 29407-4904 | 2007-02-05 |
| 1932286333 | Active Sc One, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
3880 HOUNDSFIELD AVE |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| 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 | MYRTLE BEACH |
| Zip Code | 29577 |
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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.