ACTIVE DAY OF MOLINE
NPI 1508301433
Clinic/Center - Adult Day Care in Moline, IL

Active since January 02, 2017CLIA 14D2165903 · Waiver
4011 AVENUE OF THE CITIES, SUITE 102, MOLINE, IL 61265(309) 797-0200 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2017, Jan 2, 2017 (2 updates tracked since 2017).

About Active Day Of Moline NPPES

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

ACTIVE DAY OF MOLINE (NPI 1508301433) is a healthcare organization registered as an adult day care in Moline, Illinois and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Craig O Mehnert, Coo, as its authorized official.

NPPES Registry Identity

NPI1508301433
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameACTIVE DAY IN, INC.
Location Address4011 AVENUE OF THE CITIES, SUITE 102Moline, IL 61265-4454
Mailing Address6 Neshaminy Interplex, Suite 401Trevose, PA 19053-6964 · (215) 642-6600 · Fax (215) 642-6610
Organization SubpartYesParent: Active Day, Inc.
Authorized OfficialCraig O MehnertCoo · (215) 642-6600
Enumeration DateJanuary 2, 2017
Last NPPES UpdateJanuary 13, 20172 updates tracked since enumeration
NPI 1508301433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
4011 AVENUE OF THE CITIES, Moline, IL 61265

Other Names 1

Doing Business AsActive Day Of Moline

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 14D2165903

Active Day Of Moline · Moline, IL
Active · expires May 6, 2027
CLIA Number14D2165903
Laboratory TypeAdult Day Care
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorAmy R. Iams
Laboratory Phone(215) 642-6269
Laboratory LocationActive Day Of Moline4011 Avenue Of The Cities - Ste 102, Moline, IL 61265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
4011 AVENUE OF THE CITIES, SUITE 102
MOLINE, IL 61265

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 Day In, Inc.'s NPI number?

The NPI number for Active Day In, Inc. is 1508301433. It was assigned to this organization in the NPPES registry on January 2, 2017. The provider is doing business as Active Day Of Moline.

Where is Active Day In, Inc. located?

Active Day In, Inc. is located at 4011 Avenue Of The Cities Suite 102, Moline, IL 61265. The listed phone number is (309) 797-0200.

What is Active Day In, Inc.'s specialty?

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

Does Active Day In, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2165903) is associated with this NPI, valid through May 6, 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 Day In, Inc. was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.