ACTIVE DAY OF WATTERSON PARK
NPI 1851430367
Clinic/Center - Developmental Disabilities in Louisville, KY
NPI Status: Active since February 05, 2007
Contact Information
1920 GOLDSMITH LN
SUITE 100
LOUISVILLE, KY
ZIP 40218
Phone: (502) 366-5777
Fax: (502) 366-4599
- Organization
- Clinic/Center
- Developmental Disabilities
- CLIA Number: 18D0981415
- CLIA Cert. Type: Other - ADHC
- CLIA Exp. Date: 12-26-2026
About ACTIVE DAY OF WATTERSON PARK
This page provides the complete NPI Profile along with additional information for Active Day Of Watterson Park, a provider established in Louisville, Kentucky operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1851430367 assigned on February 2007. The practitioner's primary taxonomy code is 261QD1600X. 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 Watterson Park. The authorized official of this NPI record is Craig Mehnert (Coo)
- NPI
- 1851430367
- Provider Legal Name
- ACTIVE DAY KY, INC.
- Other Organization Name
- ACTIVE DAY OF WATTERSON PARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1920 GOLDSMITH LN SUITE 100 LOUISVILLE, KY 40218
- Location Phone
- (502) 366-5777
- Location Fax
- (502) 366-4599
- Mailing Address
- 6 NESHAMINY INTERPLEX SUITE 401 TREVOSE, PA 19053
- Mailing Phone
- (215) 642-6600
- Mailing Fax
- (502) 366-4599
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-05-2007
- Last Update Date
- 08-30-2016
- 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 Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3300131400 | MEDICAID (05) | KY | |
| 4300082700 | MEDICAID (05) | KY |
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
- 18D0981415
- Facility Type
- Other - ADHC
- Certificate Effective Date
- December 27, 2024
- Certificate Expiration Date
- December 26, 2026
- Laboratory Director
- MS. KIMBERLY REISZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Active Day Of Watterson Park 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 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. | |||||||||
| 1 | 8 | 5 | 1 | 4 | 3 | 0 | 3 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 8 | 3 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 8 + 3 + 0 + 3 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1851430367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255710158 | MRS. AMANDA MARIS MS, OTR/L Individual | Occupational Therapist | 1920 GOLDSMITH LN LOUISVILLE, KY 40218 (502) 594-4013 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851430367, enumerated in the NPI registry as an "organization" on February 05, 2007
The provider is located at 1920 Goldsmith Ln Suite 100 Louisville, Ky 40218 and the phone number is (502) 366-5777
This medical organization specializes in Clinic/Center with taxonomy code 261QD1600X with a focus in Developmental Disabilities
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D0981415 for a "other - adhc" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on February 05, 2007. 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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