Active Day Of Watterson Park
LBN: Active Day Ky, Inc.
Active Day Of Watterson Park is an health care organization with primary practice located at 1920 Goldsmith Ln Suite 100, Louisville KY 40218-2073. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty.
Active Day Ky, Inc. can be contacted via phone (502) 366-5777, or through Mehnert, Craig via phone (215) 642-6600.
Contact Information
Primary practice address
1920 Goldsmith Ln Suite 100
Louisville KY 40218-2073
Phone: (502) 366-5777
Fax: (502) 366-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1851430367 |
|---|---|
| LBN Legal business name | Active Day Ky, Inc. |
| DBA Doing business as | Active Day Of Watterson Park |
| Authorized official | Mehnert, Craig |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Aug 30th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851430367 | NPPES |
| Kentucky | MEDICAID | 3300131400 | |
| Kentucky | MEDICAID | 4300082700 |
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