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ACTIVE DAY OF LIBERTY
NPI 1245370543
Clinic/Center - Adult Day Care in Liberty, SC

Active since February 07, 2007CLIA 42D0981682 · Waiver
315 W FRONT ST, LIBERTY, SC 29657(864) 843-6905 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Day Of Liberty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE DAY OF LIBERTY (NPI 1245370543) is a healthcare organization registered as an adult day care in Liberty, South Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Debora Hockenbury, Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1245370543
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameACTIVE SC TWO, INC.
Location Address315 W FRONT STLiberty, SC 29657-1011
Mailing Address6 Neshaminy Interplex Dr Ste 401Trevose, PA 19053-6942 · (215) 642-6600 · Fax (215) 642-6610
Phone(864) 843-6905
Organization SubpartYesParent: Active Day, Inc.
Authorized OfficialDebora HockenburyContracts Manager · (215) 642-6600
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1245370543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
315 W FRONT ST, Liberty, SC 29657
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Other Names 1

Doing Business AsActive Day Of Liberty

Other Identifiers 1

MedicaidEX0427SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0981682

Active Day Of Liberty · Liberty, SC
Active · expires Jan 3, 2027
CLIA Number42D0981682
Laboratory TypeOther
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorKim Beemer
Laboratory Phone(864) 843-0819
Laboratory LocationActive Day Of Liberty102 West Main Street, Liberty, SC 29657
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Sc Two, Inc.'s NPI number?

The NPI number for Active Sc Two, Inc. is 1245370543. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Active Day Of Liberty.

Where is Active Sc Two, Inc. located?

Active Sc Two, Inc. is located at 315 W Front St, Liberty, SC 29657. The listed phone number is (864) 843-6905.

What is Active Sc Two, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Active Sc Two, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0981682) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Sc Two, Inc. was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.