ACTIVE LIFE ADULT DAY HEALTH CARE CENTER – NPI #1508226440
Clinic/Center

ACTIVE LIFE ADULT DAY HEALTH CARE CENTER is an AHC clinic located in STOCKTON, CA. NPPES has assigned the NPI number 1508226440 to ACTIVE LIFE ADULT DAY HEALTH CARE CENTER on March 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACTIVE LIFE ADULT DAY HEALTH CARE CENTER” is a dba name, the actual legal business name for this organization is ACTIVE LIFE ADULT DAY CARE, INC.. 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 Mar 18, 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 LIFE ADULT DAY HEALTH CARE CENTER below.

NPI Profile for
ACTIVE LIFE ADULT DAY CARE, INC.

NPI Number
1508226440
Enumeration Date

(more than 10 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 LIFE ADULT DAY CARE, INC.
Doing Business As (dba): ACTIVE LIFE ADULT DAY HEALTH CARE CENTER
Primary location
7209 TAM O'SHANTER DR.
STOCKTON, CA 95210
Phone: (626) 643-6003 Fax: (209) 267-4193
Mailing address
7209 TAM O'SHANTER DR
UNIT D
STOCKTON, CA 95210-3370
Phone: (626) 643-6003 Fax: (209) 267-4193
Organization Subpart
No
Authorized Official
ARA KARAMANOUKIAN
PRESIDENT
Phone: (626) 643-6003
Updated
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.