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ACTIVE SC ONE, INC.
NPI 1891443685
Clinic/Center - Adult Day Care in Florence, SC

Active since March 11, 2022
2111 W JODY RD, FLORENCE, SC 29501(843) 629-0103(843) 664-0184 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Day Care

About ACTIVE SC ONE, INC.

This page provides the complete NPI Profile along with additional information for Active Sc One, Inc., a provider established in Florence, South Carolina operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1891443685 assigned on March 2022. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Debora Hockenbury (Contracts & Regulatory Mgr)

NPI
1891443685 Verify this NPI
Provider Name
ACTIVE SC ONE, INC.
Entity Type
Organization
Location Address
2111 W JODY RD FLORENCE, SC 29501
Location Phone
(843) 629-0103
Location Fax
(843) 664-0184
Mailing Address
6 INTERPLEX DR STE 401 TREVOSE, PA 19053
Mailing Phone
(215) 642-6600
Mailing Fax
(215) 827-5950
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-11-2022
Last Update Date
03-11-2022
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORA HOCKENBURY

Authorized Official Title
CONTRACTS & REGULATORY MGR
Authorized Official Phone
(215) 642-6600

Reviews for ACTIVE SC ONE, INC.

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Frequently Asked Questions

What is ACTIVE SC ONE, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1891443685, enumerated as an "organization" on March 11, 2022.

Where is the provider located?

The provider is located at 2111 W JODY RD FLORENCE, SC 29501 and the phone number is (843) 629-0103.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.