Georgetown Active Day Center

LBN: Active Sc Two, Inc.
Georgetown Active Day Center is an health care organization with primary practice located at 2902 Highmarket St , Georgetown SC 29440-2918. 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 Sc Two, Inc. can be contacted via phone (843) 546-2055, or through Hockenbury, Debora via phone (215) 642-6600.

Contact Information

Primary practice address
2902 Highmarket St Georgetown SC 29440-2918
Phone: (843) 546-2055
Fax: (843) 546-4435
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
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1578603064
LBN Legal business name Active Sc Two, Inc.
DBA Doing business as Georgetown Active Day Center
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 1578603064 NPPES
South Carolina MEDICAID EX0632

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