WILLOW CREEK ADULT DAY CARE – NPI #1013074756
Clinic/Center

WILLOW CREEK ADULT DAY CARE is an AHC clinic located in DEL RIO, TX. NPPES has assigned the NPI number 1013074756 to WILLOW CREEK ADULT DAY CARE on January 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOW CREEK ADULT DAY CARE” is a dba name, the actual legal business name for this organization is EXTREME ACTIVITIES INC. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOW CREEK ADULT DAY CARE below.

NPI Profile for
EXTREME ACTIVITIES INC

NPI Number
1013074756
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXTREME ACTIVITIES INC
Doing Business As (dba): WILLOW CREEK ADULT DAY CARE
Primary location
504 VITELA ST
DEL RIO, TX 78840
Phone: (830) 775-2552 Fax:
Mailing address
2321 HILLCREST BLVD
PO BOX 7100
EAGLE PASS, TX 78852-4401
Phone: (830) 773-2552 Fax: (830) 757-2962
Organization Subpart
No
Authorized Official
SAUL FERNANDEZ
DIRECTOR
Phone: (830) 773-2552
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 TX 119208

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.