ACTIVE DAY IN INC (NPI# 1992965040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992965040 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY IN INC |
| Other Organization Name | ACTIVE DAY OF LAFAYETTE |
| Practice Address |
3922 Mezzanine Drive Lafayette IN 47905 |
| Practice Telephone | 7654467128 |
| Mailing Telephone | 7654467128 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | KRIS W BALDOCK (CEO PRESIDENT) |
| Authorized Official Telephone | 4435482200 |
| 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 |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Active Day of Lafayette | Doing Business As Name - Organization |
| Street Address |
3922 MEZZANINE DRIVE |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1417153503 | Lafayette Council On Aging, Inc. | Clinic/Center | 160 Industrial Pkwy, 1921 A Dulles, Lafayette, LA 70508-8309 | 2007-06-25 |
| 1669859278 | Franciscan Pace | Clinic/Center | 501 W Saint Mary Blvd, Suite 200, Lafayette, LA 70506-4600 | 2015-05-04 |
| 1114217890 | Alternative Home Care Specialists, Inc. | Clinic/Center | 1531 Ambassador Caffery Pkwy, Lafayette, LA 70506-1825 | 2011-04-14 |
| 1023143963 | Angel Manor, LLC. | Clinic/Center | 708 S Washington St, Lafayette, LA 70501-6810 | 2007-02-22 |
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|---|---|---|---|---|
| 1346861366 | Jhs Care Company, LLC | Clinic/Center | 2805 E 96th St, Indianapolis, IN 46240-1369 | 2020-04-30 |
| 1477187540 | Independent Adult Day Care Centers - Fishers LLC | Clinic/Center | 7318 Crossing Pl, Fishers, IN 46038-2718 | 2020-02-27 |
| 1356975429 | Independent Adult Day Care Centers of Indiana, LLC | Clinic/Center | 8755 Guion Rd Ste A, Indianapolis, IN 46268-3048 | 2020-02-27 |
| 1003446550 | Independent Adult Day Care Centers of Indiana - Shelby Street | Clinic/Center | 2225 Shelby St, Indianapolis, IN 46203-4260 | 2020-01-23 |
| 1386281202 | A Senior Retreat LLC | Clinic/Center | 609 S Lincoln St, Martinsville, IN 46151-2216 | 2019-12-10 |
| 1558912436 | Castleton United Methodist Church, Inc. | Clinic/Center | 7160 Shadeland Sta, Indianapolis, IN 46256-3915 | 2019-09-23 |
| 1295388585 | Advanced Adult Day Service | Clinic/Center | 5906 Gifford St, Indianapolis, IN 46228-1281 | 2019-07-17 |
| 1760943575 | Peggy's Place, LLC | Clinic/Center | 1730 Audubon Dr Ste 100, New Albany, IN 47150-3482 | 2019-03-26 |
| 1114413218 | Acitve Day In, Inc. | Clinic/Center | 489 2nd Ave, Terre Haute, IN 47807-1435 | 2018-07-02 |
| 1750804555 | Lorraine Jelks | Clinic/Center | 8008 Tyler St, Merrillville, IN 46410-5346 | 2017-07-24 |
| 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.