Active Day Of Fairhaven

LBN: Active Ma, Inc.
Active Day Of Fairhaven is an health care organization with primary practice located at 40 Sconticut Neck Rd , Fairhaven MA 02719-1914. 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 (508) 990-0607, or through Mehnert, Craig via phone (215) 642-6600.

Contact Information

Primary practice address
40 Sconticut Neck Rd Fairhaven MA 02719-1914
Phone: (508) 990-0607
Fax: (508) 990-0702
Website:
Map and Directions
Authorized official contact:
Name: Mehnert, Craig
Phone: (215) 642-6600

Health care specialties

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

Profile Details

NPI number 1285775411
LBN Legal business name Active Ma, Inc.
DBA Doing business as Active Day Of Fairhaven
Authorized official Mehnert, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 9th, 2007
Last updated Sep 9th, 2016 - about 10 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 1285775411 NPPES
Massachusetts MEDICAID 1903209

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