Active NPIOrganization

Active Day Adult Social Services

Clinic/Center, Adult Day Care in Freehold, New Jersey

NPI Number1366821241
Practice location
20 Jackson St Ste 1A, Freehold, NJ 07728-2476
Fax
732-845-3339
Last updated
January 14, 2016

Active Day Adult Social Services is a healthcare organization based in Freehold, NJ. Active Day Adult Social Services practices in Freehold, NJ. The NPI Number for Active Day Adult Social Services is 1366821241 and holds a License No. 13008 (NJ). The current practice location address for Active Day Adult Social Services is 20 Jackson St Ste 1A, Freehold, NJ 07728-2476 and can be reached out via phone at 732-845-3332 and via fax at 732-845-3339.

Provider Profile Details

NPI Number
1366821241
Provider Name
Active Day Adult Social Services
Provider Entity Type
Organization
Address
20 Jackson St Ste 1A, Freehold, NJ 07728-2476
Phone Number
732-845-3332
Fax Number
732-845-3339
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Tatiana Larina · Manager · 732-851-6640
Other Names
Active Day Adult Services (Doing Business As)
Provider Enumeration Date
May 25, 2015
Last Update Date
January 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Jackson St Ste 1A
Freehold, NJ 07728-2476
Zip
07728-2476
Phone Number
732-845-3332
Fax Number
732-845-3339
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
20 Jackson St Ste 1A
Freehold, NJ 07728-2476
City
Freehold
State
NJ
Zip
07728-2476
Phone Number
732-845-3332
Fax Number
732-845-3339

License Information

License State (1)
NJ
License Number (2)
13008
License State (2)
NJ
Taxonomy (2)
Clinic/Center, Adult Day Care · 261QA0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Active Day Adult Social Services?

The NPI number of Active Day Adult Social Services is 1366821241. It was assigned on May 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Active Day Adult Social Services?

Active Day Adult Social Services is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X), licensed in NJ under license number 13008.

Where does Active Day Adult Social Services practice?

The practice location is 20 Jackson St Ste 1A, Freehold, NJ 07728-2476. The office can be reached at 732-845-3332 (phone) or 732-845-3339 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366821241 directly on the NPPES registry website.

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