ACTIVE DAY OF FORT WAYNE
NPI 1730628322
Clinic/Center - Adult Day Care in Fort Wayne, IN
NPI Status: Active since February 16, 2017
Contact Information
3711 RUPP DR
SUITE 107
FORT WAYNE, IN
ZIP 46815
Phone: (260) 484-2414
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 15D2150679
- CLIA Cert. Type: Other - MEDICAL ADULT DAY CARE
- CLIA Exp. Date: 06-28-2026
About ACTIVE DAY OF FORT WAYNE
This page provides the complete NPI Profile along with additional information for Active Day Of Fort Wayne, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1730628322 assigned on February 2017. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Active Day Of Fort Wayne. The authorized official of this NPI record is Craig O Mehnert (Coo)
- NPI
- 1730628322
- Provider Legal Name
- ACITVE DAY IN, INC.
- Other Organization Name
- ACTIVE DAY OF FORT WAYNE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3711 RUPP DR SUITE 107 FORT WAYNE, IN 46815
- Location Phone
- (260) 484-2414
- Mailing Address
- 6 NESHAMINY INTERPLEX SUITE 401 TREVOSE, PA 19053
- Mailing Phone
- (215) 642-6600
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-16-2017
- Last Update Date
- 02-16-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2150679
- Facility Type
- Other - MEDICAL ADULT DAY CARE
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- VALERIE O BRIEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Active Day Of Fort Wayne to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1730628322, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FORT WAYNE, IN 46815
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730628322, enumerated as an "organization" on February 16, 2017.
The provider is located at 3711 RUPP DR SUITE 107 FORT WAYNE, IN 46815 and the phone number is (260) 484-2414.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.