Active Day Of Grand Strand

LBN: Active Sc One, Inc.
Active Day Of Grand Strand is an health care organization with primary practice located at 3880 Houndsfield Ave , Myrtle Beach SC 29577-5792. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Active Sc One, Inc. can be contacted via phone (843) 626-8501, or through Hockenbury, Debora via phone (215) 642-6600.

Contact Information

Primary practice address
3880 Houndsfield Ave Myrtle Beach SC 29577-5792
Phone: (843) 626-8501
Fax: (843) 916-8858
Website:
Map and Directions
Authorized official contact:
Name: Hockenbury, Debora
Phone: (215) 642-6600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1619017027
LBN Legal business name Active Sc One, Inc.
DBA Doing business as Active Day Of Grand Strand
Authorized official Hockenbury, Debora
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jun 30th, 2020 - about 4 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 1619017027 NPPES
South Carolina MEDICAID EX0429

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