Active Ma, Inc.

LBN: Active Ma, Inc.
Active Ma, Inc. is an health care organization with primary practice located at 370 Libbey Pkwy Ste 800 , Weymouth MA 02189-3179. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Active Ma, Inc. can be contacted via phone (781) 749-1310, or through Mehnert, Craig O via phone (215) 642-6600.

Contact Information

Primary practice address
370 Libbey Pkwy Ste 800 Weymouth MA 02189-3179
Phone: (781) 749-1310
Fax: (781) 749-1360
Website:
Map and Directions
Authorized official contact:
Name: Mehnert, Craig O
Phone: (215) 642-6600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1629438676
LBN Legal business name Active Ma, Inc.
DBA Doing business as
Authorized official Mehnert, Craig O
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2016
Last updated Jan 25th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629438676 NPPES
Massachusetts MEDICAID 110032728E

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