EXTREME ACTIVITIES INC (NPI# 1013074756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013074756 |
Entity Type | Organization |
Organization Name | EXTREME ACTIVITIES INC |
Other Organization Name | WILLOW CREEK ADULT DAY CARE |
Practice Address |
504 Vitela St Del Rio TX 78840 |
Mailing Address |
2321 Hillcrest Blvd Po Box 7100 Eagle Pass TX 78852-4401 |
Practice Telephone | 8307752552 |
Mailing Telephone | 8307732552 |
Mailing Fax Number | 8307572962 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. SAUL FERNANDEZ JR. (DIRECTOR) |
Authorized Official Telephone | 8307732552 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
119208 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Willow Creek Adult Day Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235295494 | Extreme Activities Inc | Clinic/Center | 808 N Bibb Ave, Eagle Pass, TX 78852-4406 | 2006-12-29 |
Street Address |
504 VITELA ST |
City | DEL RIO |
State | TX |
Zip Code | 78840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
Find all providers in zip 78840 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841443942 | Aslan Professional Services LLC | Clinic/Center | 601 E Gibbs St, Del Rio, TX 78840-4653 | 2008-11-03 |
1003037730 | Tlc Adult Day Care Centers, Inc. | Clinic/Center | 822 S Main St, Del Rio, TX 78840-5866 | 2007-05-01 |
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1376150847 | Siempre Unidos Adult Day Care, LLC | Clinic/Center | 6600 N Val Verde Rd Ste F, Donna, TX 78537-3833 | 2020-09-28 |
1215541230 | Angeles Adult Day Care, LLC | Clinic/Center | 4100 W 3 Mile Rd, Suite 12, Mission, TX 78574-6177 | 2020-09-08 |
1023626868 | Givens Some Love Day Habilitation Center | Clinic/Center | 301 Sth 7th Street, Mabank, TX 75147 | 2020-07-17 |
1154939189 | Friends Place Adult Day Services | Clinic/Center | 1960 Nantucket Dr, Richardson, TX 75080-3354 | 2020-07-15 |
1033727060 | Friends Place Southwest LLC | Clinic/Center | 1232 W Belt Line Rd, Desoto, TX 75115-3738 | 2020-07-15 |
1922625243 | Teri Lynn Roberts | Clinic/Center | 13328 1/2 Almeda Rd, Houston, TX 77045-6628 | 2020-07-02 |
1730706326 | Bellaire Adult Day Care LLC | Clinic/Center | 7403 S Kirkwood Rd, Houston, TX 77072-3301 | 2020-06-29 |
1356966220 | Jalba Investments LLC | Clinic/Center | 604 E Ramon Ayala Dr, Hidalgo, TX 78557-2627 | 2020-06-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.