EXTREME ACTIVITIES INC NPI 1235295494

NPI Information

  • NPI: 1235295494
  • Provider Name: EXTREME ACTIVITIES INC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: WILLOW CREEK ADULT DAY CARE
  • Address: 808 N BIBB AVE
    EAGLE PASS, TX
    ZIP 78852
  • Phone: (830) 773-2552

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NPI Details

EXTREME ACTIVITIES INC is an adult day care clinic center in Eagle Pass, TX. EXTREME ACTIVITIES INC NPI is 1235295494. The provider is registered as an organization entity type.
The provider Is Doing Business As Willow Creek Adult Day Care.

The provider's business location address is:

808 N BIBB AVE
EAGLE PASS, TX
ZIP 78852-406
Phone: (830) 773-2552
Fax: (830) 757-2962

The provider's authorized official is Saul Fernandez .
The authorized official title is Directon and has the following contact phone number (830) 773-2552.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day Care117633TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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