NPIMap

Organization Active NPI

San Antonio Refugee Youth Sports Amrica

Doing business as N/a

  • In Home Supportive Care Agency
  • San Antonio, TX
National Provider Identifier
1285903716
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
014893 Issued in TX
Legal business name
SAN ANTONIO REFUGEE YOUTH SPORTS AMRICA
Doing business as
N/a
Practice address
9650 Datapoint Dr
106
San Antonio, TX 78229-2389
Phone
(210) 875-0229
Fax
(210) 593-0434
NPI assigned
Dec 29, 2011
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. Dadiri Y Jama
Title
Founder/President
Phone
(210) 875-0229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 014893 TX Primary

Addresses

Primary practice location

9650 Datapoint Dr
106
San Antonio, TX 78229-2389

Mailing address

9650 Datapoint Dr
106
San Antonio, TX 78229-2389
Phone (210) 875-0229

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Refugee Youth Sports America2 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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1285903716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 DATAPOINT DR",
            "address_2": "106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292389",
            "telephone_number": "210-875-0229",
            "fax_number": "210-593-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 DATAPOINT DR",
            "address_2": "106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292389",
            "telephone_number": "210-875-0229",
            "fax_number": "210-593-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO REFUGEE YOUTH SPORTS AMRICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "DADIRI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "210-875-0229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "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 Jan 23, 2013; 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.