Organization Active NPI

Kirby Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1730215278
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KIRBY ADULT DAY CARE, INC.
Practice address
5135 Seguin Rd
Suite B
San Antonio, TX 78219-1095
Phone
(210) 310-1602
Fax
(210) 310-1602
NPI assigned
Feb 26, 2007
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mr. William E. Hysaw
Title
C.E.O.
Phone
(210) 310-1602

Specialties & licenses 1

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

Addresses

Primary practice location

5135 Seguin Rd
Suite B
San Antonio, TX 78219-1095

Mailing address

5135 Seguin Rd
Suite B
San Antonio, TX 78219-1095
Phone (210) 310-1602

Other identifiers 1

IdentifierTypeStateIssuer
001001728OtherTXCONTRACT NUMBER

National Provider Directory

National Provider Directory

Locations

5135 Seguin Rd
Ste B
San Antonio, TX 78219
Phone (210) 310-1602

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1730215278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 SEGUIN RD",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782191095",
            "telephone_number": "210-310-1602",
            "fax_number": "210-310-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 SEGUIN RD",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782191095",
            "telephone_number": "210-310-1602",
            "fax_number": "210-310-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "HYSAW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "210-310-1602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT NUMBER",
            "identifier": "001001728",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 18, 2018; 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.