Azalea Trail Nursing And Rehabilitation Center

LBN: Ekklesia Healthcare, Llc
Azalea Trail Nursing And Rehabilitation Center is an health care organization with primary practice located at 411 Spring Creek Road , Grand Saline TX 75140. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ekklesia Healthcare, Llc can be contacted via phone (903) 962-4226, or through Ward, Patricia Diane via phone (254) 580-9424.

Contact Information

Primary practice address
411 Spring Creek Road Grand Saline TX 75140
Phone: (903) 962-4226
Fax: (903) 962-4492
Website:
Map and Directions
Authorized official contact:
Name: Ward, Patricia Diane
Phone: (254) 580-9424

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 118979 Texas

Profile Details

NPI number 1790842714
LBN Legal business name Ekklesia Healthcare, Llc
DBA Doing business as Azalea Trail Nursing And Rehabilitation Center
Authorized official Ward, Patricia Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 15th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790842714 NPPES
Texas MEDICAID 001014774
Texas MEDICAID 021897601

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