ACTIVE DAY OF FAIRHAVEN – NPI #1285775411
Clinic/Center

ACTIVE DAY OF FAIRHAVEN is an AHC clinic located in FAIRHAVEN, MA. NPPES has assigned the NPI number 1285775411 to ACTIVE DAY OF FAIRHAVEN on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACTIVE DAY OF FAIRHAVEN” is a dba name, the actual legal business name for this organization is ACTIVE MA, INC.. With multiple taxonomy codes selected, 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

The NPI profile was previously updated about 10 years ago on Sep 09, 2016. 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 DAY OF FAIRHAVEN below.

NPI Profile for
ACTIVE MA, INC.

NPI Number
1285775411
Enumeration Date

(more than 19 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 MA, INC.
Doing Business As (dba): ACTIVE DAY OF FAIRHAVEN
Primary location
40 SCONTICUT NECK RD
FAIRHAVEN, MA 02719-1914
Phone: (508) 990-0607 Fax: (508) 990-0702
Mailing address
6 NESHAMINY INTERPLEX DR
SUITE 401
TREVOSE, PA 19053-6964
Phone: (215) 642-6600 Fax: (215) 642-6610
Organization Subpart
Yes - ACTIVE DAY OF FAIRHAVEN is subpart of another organization.
Authorized Official
CRAIG MEHNERT
COO
Phone: (215) 642-6600
Updated
Identifiers

Identifiers for ACTIVE DAY OF FAIRHAVEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA1903209
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)
385H00000X
- Respite Care		 MA

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.