Organization Active NPI

A Rejuvenating Adult Day Health & Activities Center LLC

  • Adult Day Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1003372764
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
A REJUVENATING ADULT DAY HEALTH & ACTIVITIES CENTER LLC
Practice address
5357 W Commerce St
San Antonio, TX 78237-1355
Phone
(210) 375-6090
Fax
(210) 375-6092
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diana Fonseca
Title
Director of Operations/Owner
Phone
(210) 246-2759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5357 W Commerce St
San Antonio, TX 78237-1355

Mailing address

10507 Mount Ida
San Antonio, TX 78213-1737
Phone (210) 246-2759

Other names 1

  • A Rejuvenating Adult Day Health & Activities Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1003372764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 MOUNT IDA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131737",
            "telephone_number": "210-246-2759",
            "fax_number": "210-375-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782371355",
            "telephone_number": "210-375-6090",
            "fax_number": "210-375-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A REJUVENATING ADULT DAY HEALTH & ACTIVITIES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "210-246-2759"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Rejuvenating Adult Day Health & Activities Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.