OrganizationActive
Active Sc One, Inc.
NPI 1619017027 · Adult Day Care Clinic/Center · Myrtle Beach, SC
Provider details
- NPI number
- 1619017027
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Active Day, Inc.
- Organization subpart
- Yes
- Authorized official
- Debora Hockenbury, Contracts Manager(215) 642-6600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3880 Houndsfield Ave
Myrtle Beach, SC 29577-5792
Phone: (843) 626-8501
Fax: (843) 916-8858
Street-level locationGet directions
Mailing address
6 Neshaminy Interplex Dr Ste 401
Trevose, PA 19053-6942
Other names (DBA / former)
- Doing business as
- Active Day of Grand Strand
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.