Active Sc One, Inc.
Active Sc One, Inc. is a healthcare organization registered as Adult Day Care Clinic/Center in Myrtle Beach, SC, holding Type 2 (organization) NPI 1619017027 since 2007. The authorized official on file is Debora Hockenbury, Contracts Manager.
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| NPI | 1619017027 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Sc One, Inc. |
| Other name | <Unavail> |
| Parent organization | Active Day, Inc. |
| Practice address | 3880 HOUNDSFIELD AVE, Myrtle Beach, SC, 29577 |
| Phone | 8436268501 |
| Fax | 8439168858 |
| Enumeration date | 2007-02-07 |
| Last updated in NPPES | 2020-06-30 |
Authorized official
| Name | Debora Hockenbury |
|---|---|
| Title | Contracts Manager |
| Phone | 2156426600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA0600X | Adult Day Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0429 | Medicaid | SC | — |
Copy-ready billing details
Provider: Active Sc One, Inc. NPI: 1619017027 Taxonomy: 261QA0600X (Adult Day Care Clinic/Center) Address: 3880 HOUNDSFIELD AVE, Myrtle Beach, SC, 29577
Verify this record
Cross-check NPI 1619017027 against the authoritative CMS record: view Active Sc One, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Active Sc One, Inc.?
What is the NPI number for Active Sc One, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-30.