ACTIVE SC ONE, INC. – NPI #1013648252
Clinic/Center

ACTIVE SC ONE, INC. is an AHC clinic located in CAYCE, SC. NPPES has assigned the NPI number 1013648252 to ACTIVE SC ONE, INC. on June 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVE SC ONE, INC. below.

NPI Profile for
ACTIVE SC ONE, INC.

NPI Number
1013648252
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACTIVE SC ONE, INC.
Primary location
1111 STATE ST
CAYCE, SC 29033-4342
Phone: (803) 796-5192 Fax:
Mailing address
6 NESHAMINY INTERPLEX, STE 401
TREVOSE, PA 19053-6942
Phone: (215) 642-6600 Fax:
Organization Subpart
No
Authorized Official
DEBORA HOCKENBURY
CONTRACTS MGR
Phone: (215) 642-6600
Updated
Certification Date
Jun 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.