Provider Demographics
NPI:1073690970
Name:ACTIVITY AND HEALTH CENTERS, INC.
Entity Type:Organization
Organization Name:ACTIVITY AND HEALTH CENTERS, INC.
Other - Org Name:SUN VALLEY ADULT HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-0800
Mailing Address - Street 1:5411 N MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2206
Mailing Address - Country:US
Mailing Address - Phone:956-682-0800
Mailing Address - Fax:956-682-1120
Practice Address - Street 1:801 N 13TH ST STE 16A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5073
Practice Address - Country:US
Practice Address - Phone:956-428-9020
Practice Address - Fax:956-428-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3383261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-87001OtherCACFP
TX0003383Medicaid