MEDICARE: CLEARDAY CLUBS OF LEON VALLEY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	135916	TX

General Provider Information

NPI Number	:	1760825269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARDAY CLUBS OF LEON VALLEY, LLC

Provider Business Mailing Address
First Line	:	6812 BANDERA RD
Second Line	:	SUITE 124
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1369
Country	:	US
Telephone Number	:	210-647-8300
Fax Number	:	210-647-8304

Provider Business Practice Location Address
First Line	:	6812 BANDERA RD
Second Line	:	SUITE 124
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1369
Country	:	US
Telephone Number	:	210-647-8300
Fax Number	:	210-647-8304

Authorized Official
Title or Position	:	AUTHORIZED PERSON
Name	:	BJ PARRISH
Credential	:
Telephone Number	:	210-451-0839

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	08/05/2025

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