Rejuvenating Adult Day Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

REJUVENATING ADULT DAY CARE

Practice address

1023 N Pine St
BLDG 4
San Antonio, TX 78202-1203

Phone

(210) 214-0349

Fax

(210) 595-7180

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

L'Kiendria Johnson

Title

President

Phone

(210) 214-0349

Specialties & licenses 1

Addresses

Other names 1

• Rejuvenating Adult Day Care Doing business as

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1760636500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N PINE ST",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782021203",
            "telephone_number": "210-214-0349",
            "fax_number": "210-595-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N PINE ST",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782021203",
            "telephone_number": "210-214-0349",
            "fax_number": "210-595-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATING ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "L'KIENDRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-214-0349"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenating Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Joseph Reitano, M.D.
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• Developmentally Disabled Services Day Training Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.