ACTIVE DAY OF FORT WAYNE
NPI 1730628322
Clinic/Center - Adult Day Care in Fort Wayne, IN
About Active Day Of Fort Wayne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE DAY OF FORT WAYNE (NPI 1730628322) is a healthcare organization registered as an adult day care in Fort Wayne, Indiana and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Craig O Mehnert, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 15D2150679
Active Day Of Fort Wayne · Fort Wayne, INOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46815
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 Acitve Day In, Inc.'s NPI number?
The NPI number for Acitve Day In, Inc. is 1730628322. It was assigned to this organization in the NPPES registry on February 16, 2017. The provider is doing business as Active Day Of Fort Wayne.
Where is Acitve Day In, Inc. located?
Acitve Day In, Inc. is located at 3711 Rupp Dr Suite 107, Fort Wayne, IN 46815. The listed phone number is (260) 484-2414.
What is Acitve 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 Acitve Day In, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2150679) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Acitve Day In, Inc. was last updated on February 16, 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.
# Active Day Of Fort Wayne · NPI 1730628322
Adult Day Care organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since February 16, 2017.
## Identity
- **NPI:** 1730628322 (Entity type: Organization)
- **Enumerated:** February 16, 2017
- **Primary specialty:** Clinic/Center - Adult Day Care · taxonomy 261QA0600X
- **Legal business name:** Acitve Day In, Inc.
- **Organization subpart:** Yes (part of Active Day, Inc.)
- **Authorized official:** Craig Mehnert, COO
## Practice location
- **Address:** 3711 RUPP DR, SUITE 107, Fort Wayne, IN 46815-4523
- **Phone:** (260) 484-2414
## Record status
- **NPPES last updated:** February 16, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730628322) · Data from the CMS NPPES public registry.