Organization Active NPI

First Class Activity Center, LLC

  • Adult Day Care Clinic/Center
  • Alice, TX
National Provider Identifier
1104336072
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FIRST CLASS ACTIVITY CENTER, LLC
Practice address
308 E 2ND Street
Suite a
Alice, TX 78332-4826
Phone
(361) 356-4265
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Carl Mathews
Title
Member
Phone
(361) 356-4265

Specialties & licenses 1

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

Addresses

Primary practice location

308 E 2ND Street
Suite a
Alice, TX 78332-4826

Mailing address

PO Box 1877
Alice, TX 78333-1877
Phone (361) 356-4265

Other identifiers 1

IdentifierTypeStateIssuer
001030081MedicaidTX

National Provider Directory

National Provider Directory

Locations

308 E 2nd St
Ste A
Alice, TX 78332
Phone (361) 356-4265

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1104336072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1877",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783331877",
            "telephone_number": "361-356-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 2ND STREET",
            "address_2": "SUITE A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324826",
            "telephone_number": "361-356-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS ACTIVITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "361-356-4265"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001030081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.