Extreme Activities Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

117633 Issued in TX

Legal business name

EXTREME ACTIVITIES INC

Practice address

808 N Bibb Ave
Eagle Pass, TX 78852-4406

Phone

(830) 773-2552

Fax

(830) 757-2962

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Saul Fernandez Jr.

Title

Directon

Phone

(830) 773-2552

Specialties & licenses 1

Addresses

Other names 1

• Willow Creek Adult Day Care Doing business as

Tax ID family

Extreme Activities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Extreme Activities Inc

  • Adult Day Care Clinic/Center
  • Del Rio, TX
  • NPI 1013074756
  NPD tax ID

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235295494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 HILLCREST BLVD",
            "address_2": "PO BOX 7100",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524401",
            "telephone_number": "830-773-2552",
            "fax_number": "830-757-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524406",
            "telephone_number": "830-773-2552",
            "fax_number": "830-757-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME ACTIVITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "DIRECTON",
        "authorized_official_telephone_number": "830-773-2552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "117633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Endeavor Home Care LLC
• Alejandro Esquivel Jr.
• Lilia Irene Esquivel
• Ruby A Esquivel, LPCA
• Raynon Corre Estoque, PTA
• Maximo Flores-Salazar, MD
• Maria Consuelo Flores
• Zaida Flores
• Fort Duncan Medical Center L.P
• Fort Duncan Medical Center LP

• Adult Day Care Clinic/Center in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.