ELLA AUSTIN COMMUNITY CENTER NPI 1023294840

Clinic/Center (Adult Day Care) in San Antonio, TX

NPI 1023294840 Organization Clinic/Center Adult Day Care

About ELLA AUSTIN COMMUNITY CENTER

Ella Austin Community Center is a provider established in San Antonio, Texas specializing in clinic/center (adult day care) . The NPI number of Ella Austin Community Center is 1023294840 and was assigned on January 2008. The practitioner's primary taxonomy code is 261QA0600X with license number 121190 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Anthony Edward Hargrove (Executive Director)

NPI

1023294840

Provider NameELLA AUSTIN COMMUNITY CENTER
Provider Location Address1023 N PINE ST SAN ANTONIO, TX 78202
Provider Mailing AddressPO BOX 8147 SAN ANTONIO, TX 78208
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-10-2008
Last Update Date01-10-2008


Primary Taxonomy

Taxonomy Code261QA0600X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdult Day Care
License No.121190
License StateTX

Business Address

ELLA AUSTIN COMMUNITY CENTER
1023 N PINE ST
SAN ANTONIO, TX
ZIP 78202
Phone: (210) 224-2351
Fax: (210) 229-9126

Get Directions


Mailing Address

ELLA AUSTIN COMMUNITY CENTER
PO BOX 8147
SAN ANTONIO, TX
ZIP 78208
Phone: (210) 224-2351
Fax: (210) 229-9126



Authorized Official

Authorized Official NameMR. ANTHONY EDWARD HARGROVE
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(210) 224-2351

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760636500REJUVENATING ADULT DAY CARE
Organization
Day Training, Developmentally Disabled Services1023 N PINE ST BLDG 4
SAN ANTONIO, TX 78202
(210) 214-0349

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.