EXTREME ACTIVITIES INC (NPI# 1235295494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235295494 |
| Entity Type | Organization |
| Organization Name | EXTREME ACTIVITIES INC |
| Other Organization Name | WILLOW CREEK ADULT DAY CARE |
| Practice Address |
808 N Bibb Ave Eagle Pass TX 78852-4406 |
| Mailing Address |
2321 Hillcrest Blvd Po Box 7100 Eagle Pass TX 78852-4401 |
| Practice Telephone | 8307732552 |
| Practice Fax Number | 8307572962 |
| Mailing Telephone | 8307732552 |
| Mailing Fax Number | 8307572962 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAUL FERNANDEZ JR. (DIRECTON) |
| 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 |
117633 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Creek Adult Day Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013074756 | Extreme Activities Inc | Clinic/Center | 504 Vitela St, Del Rio, TX 78840 | 2007-01-02 |
| Street Address |
808 N BIBB AVE |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487921367 | Amistad Adult Daycare | Clinic/Center | 2431 Del Rio Blvd, Eagle Pass, TX 78852-3216 | 2011-11-21 |
| 1457550410 | La Guadalupana Adult Day Care, Inc. | Clinic/Center | 3407 Cathleen, Eagle Pass, TX 78852-5894 | 2007-07-11 |
| 1962614958 | Tlc Adult Day Care Centers, Inc. | Clinic/Center | 2448 El Indio Hwy, Eagle Pass, TX 78853 | 2007-05-04 |
| 1790906428 | Tlc Adult Day Care Centers, Inc. | Clinic/Center | 735 N Pierce St Ste B, Eagle Pass, TX 78852-4012 | 2007-05-01 |
| 1003999731 | Keywest Adult Day Care | Clinic/Center | 2508 Fox Pl, Eagle Pass, TX 78852-4479 | 2006-10-24 |
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|---|---|---|---|---|
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| 1225637127 | Claudia E Cavazos | Clinic/Center | 1209 E Fm 495 Ste 123, San Juan, TX 78589-4863 | 2020-10-21 |
| 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 | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
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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.