Active Day Of Louisville Audubon Park

LBN: Acsr, Inc.
Active Day Of Louisville Audubon Park is an health care organization with primary practice located at 3795 Poplar Level Rd , Louisville KY 40213-1044. The organization recently has 2 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 / Adult Day Care is the primary health care specialty. Acsr, Inc. can be contacted via phone (502) 479-8802, or through Baldock, Kris W. via phone (443) 548-2201.

Contact Information

Primary practice address
3795 Poplar Level Rd Louisville KY 40213-1044
Phone: (502) 479-8802
Fax: (502) 479-8804
Website:
Map and Directions
Authorized official contact:
Name: Baldock, Kris W.
Phone: (443) 548-2201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1962540864
LBN Legal business name Acsr, Inc.
DBA Doing business as Active Day Of Louisville Audubon Park
Authorized official Baldock, Kris W.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Sep 26th, 2011 - about 15 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 1962540864 NPPES
Kentucky MEDICAID 4301456200
Kentucky MEDICAID 3300096900

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