San Antonio Refugee Youth Sports America

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014893 Issued in TX

Legal business name

SAN ANTONIO REFUGEE YOUTH SPORTS AMERICA

Doing business as

N/a

Practice address

9650 Datapoint Dr
Suite 106
San Atnonio, TX 78229

Phone

(210) 875-0229

Fax

(210) 593-0434

NPI assigned

Oct 5, 2012

Last updated

Nov 10, 2014By 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

Mr. Dadiri Yussuf Jama

Title

Executive Didrector

Phone

(210) 875-0229

Specialties & licenses 2

Addresses

Other names 1

• N/A Doing business as

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.

• San Antonio Refugee Youth Sports Amrica

  dba N/a

  • In Home Supportive Care Agency
  • San Antonio, TX
  • NPI 1285903716
  NPD tax ID

Locations

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1992057590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 DATAPOINT DR",
            "address_2": "SUITE 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": "SUITE 106",
            "city": "SAN ATNONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-875-0229",
            "fax_number": "210-593-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO REFUGEE YOUTH SPORTS AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "DADIRI",
        "authorized_official_middle_name": "YUSSUF",
        "authorized_official_title_or_position": "EXECUTIVE DIDRECTOR",
        "authorized_official_telephone_number": "210-875-0229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014893",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.