ACTIVATE HEALTHCARE PC
NPI 1396021010
Early Intervention Provider Agency in Indianapolis, IN

NPI Status: Active since October 26, 2011

Contact Information

6340 N EWING ST
INDIANAPOLIS, IN
ZIP 46220
Phone: (773) 697-3144

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  • Organization
  • Early Intervention Provider Agency
  • Accepts Insurance
  • CLIA Number: 15D2176056
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-29-2026

About ACTIVATE HEALTHCARE PC

This page provides the complete NPI Profile along with additional information for Activate Healthcare Pc, a provider established in Indianapolis, Indiana operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1396021010 assigned on October 2011. The practitioner's primary taxonomy code is 252Y00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Debra A Geihsler (Principal)

NPI
1396021010
Provider Name
ACTIVATE HEALTHCARE PC
Entity Type
Organization
Location Address
6340 N EWING ST INDIANAPOLIS, IN 46220
Location Phone
(773) 697-3144
Mailing Address
2115 N DAMEN AVE CHICAGO, IL 60647
Mailing Phone
(773) 697-3144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2011
Last Update Date
10-25-2013
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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

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
License State
IN
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DEBRA A GEIHSLER

Authorized Official Title
PRINCIPAL
Authorized Official Phone
(312) 455-9200

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
15D2176056
Facility Type
Physician Office
Certificate Effective Date
March 30, 2024
Certificate Expiration Date
March 29, 2026
Laboratory Director
REBECCA ROCKERS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Activate Healthcare Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396021010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318602202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 2 + 2 + 0 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396021010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396021010, enumerated in the NPI registry as an "organization" on October 26, 2011

The provider is located at 6340 N Ewing St Indianapolis, In 46220 and the phone number is (773) 697-3144

This medical organization specializes in Early Intervention Provider Agency with taxonomy code 252Y00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2176056 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on October 26, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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