Club de Actividades Su Casa

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CLUB DE ACTIVIDADES SU CASA

Practice address

5003 Alabama St
El Paso, TX 79930-2615

Phone

(915) 566-0800

Fax

(915) 566-0801

NPI assigned

Nov 9, 2020

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aida VargasNPI 1932755501

Title

Owner

Phone

(915) 256-9191

Specialties & licenses 1

Addresses

Other names 1

• Club De Actividades Su Casa Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aida Aracely Vargas

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1932755501
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1750983375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 ALABAMA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302615",
            "telephone_number": "915-566-0800",
            "fax_number": "915-566-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 ALABAMA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302615",
            "telephone_number": "915-566-0800",
            "fax_number": "915-566-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB DE ACTIVIDADES SU CASA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-02-24",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-256-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcervantes@usnpca.com",
            "affiliation": "N",
            "address_1": "5003 Alabama St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799302615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Club De Actividades Su Casa",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Club De Actividades Su Casa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Doris A Clippard, APN
• Cloudview Home Health Agency, Inc. (Cloudview Healthcare)
• Cloudview Hospice LLC
• Perla Patricia Clouse
• Jeremy D Clowe, PHARMD.
• Clyde Corwin Clybourn, MD
• Cna Medical Care PLLC
• Cna Nursing Services Inc
• Cna Nursing Services Inc.
• CNV Adult Day Care LLP

• Adult Day Care Clinic/Center in El Paso, TX
• Providers in El Paso, 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 Feb 24, 2023; 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.