ACTIVE MA, INC. (NPI# 1629438676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629438676 |
| Entity Type | Organization |
| Organization Name | ACTIVE MA, INC. |
| Practice Address |
370 Libbey Pkwy Ste 800 Weymouth MA 02189-3179 |
| Mailing Address |
6 Neshaminy Interplex Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 7817491310 |
| Practice Fax Number | 7817491360 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-01-25 |
| 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 | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110032728E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818283 | Active Ma, Inc. | Clinic/Center | 595 Pleasant St, Norwood, MA 02062-4603 | 2020-07-13 |
| 1154949592 | Active Ma, Inc. | Clinic/Center | 725a Myles Standish Blvd, Taunton, MA 02780-7332 | 2020-07-13 |
| 1588119713 | Active Ma, Inc. | Clinic/Center | 345 Chelmsford St, Lowell, MA 01851-4448 | 2016-08-17 |
| 1003957200 | Active Ma, Inc. | Respite Care | 107 Welby Rd, New Bedford, MA 02745-1135 | 2007-02-09 |
| 1285775411 | Active Ma, Inc. | Respite Care | 40 Sconticut Neck Rd, Fairhaven, MA 02719-1914 | 2007-02-09 |
| 1316565757 | Active Ma, Inc. | Clinic/Center | 300 Branch St, Mansfield, MA 02048-2823 | 2020-07-13 |
| 1295256980 | Active Ma, Inc. | Clinic/Center | 81 Welby Rd, New Bedford, MA 02745-1118 | 2017-07-03 |
| 1144777079 | Active Ma, Inc. | Home Health | 265 Benton Dr, Suite 201, East Longmeadow, MA 01028-3219 | 2016-09-08 |
| 1467596056 | Active Ma, Inc. | Home Health | 191 Main St, Suite 211, Wareham, MA 02571-2166 | 2007-02-16 |
| 1811074388 | Active Ma, Inc. | Home Health | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
370 LIBBEY PKWY STE 800 |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295079457 | Carepro Adult Day Health | Clinic/Center | 153 Pleasant St, Weymouth, MA 02190-2526 | 2012-11-12 |
| 1275980526 | Bane Colonial, LLC | Clinic/Center | 125 Broad St, Weymouth, MA 02188-2336 | 2016-05-17 |
| 1669792149 | South Shore Support Services | Clinic/Center | 317 Libbey Industrial Pkwy, Unit B300, Weymouth, MA 02189-3113 | 2010-06-07 |
| 1659490696 | Colonial Adult Day Health | Clinic/Center | 125 Broad St, Weymouth, MA 02188-2336 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818283 | Active Ma, Inc. | Clinic/Center | 595 Pleasant St, Norwood, MA 02062-4603 | 2020-07-13 |
| 1154949592 | Active Ma, Inc. | Clinic/Center | 725a Myles Standish Blvd, Taunton, MA 02780-7332 | 2020-07-13 |
| 1154954311 | Zdorovie Community Center, Inc | Clinic/Center | 143 California St, Newton, MA 02458-1023 | 2020-02-17 |
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518504505 | Adult Day Health, Inc. | Clinic/Center | 41 Capital Dr, West Springfield, MA 01089-1344 | 2019-12-09 |
| 1154968451 | Adult Day Health, Inc. | Clinic/Center | 52 Wayside Ave Ste B, West Springfield, MA 01089-1361 | 2019-12-05 |
| 1245889351 | American Adult Daycare of Middlesex Inc | Clinic/Center | 84 Brick Kiln Rd, Chelmsford, MA 01824-3218 | 2019-09-11 |
| 1326690074 | Millennium Home Adult Day Healthcare | Clinic/Center | 5 Lyberty Way, Westford, MA 01886-3617 | 2019-07-12 |
| 1295395077 | Adult Day Health, Inc. | Clinic/Center | 1820 Turnpike St Ste 106, North Andover, MA 01845-6399 | 2019-06-14 |
| 1114587995 | Adult Day Health, Inc. | Clinic/Center | 600 Cummings Ctr Ste 176x, Beverly, MA 01915-6108 | 2019-06-14 |
| 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.