COUNTRY TRAILS HOSPICELTD. NPI 1952418337

NPI Information

NPI: 1952418337
Provider Name: COUNTRY TRAILS HOSPICE,LTD.

Doing Business As: AUTUMN WOOD HOSPICE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
121 E FRANK ST
GRAND SALINE, TX
ZIP 75140
Phone: (903) 962-7597
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COUNTRY TRAILS HOSPICE,LTD. is a hospice care community based in Grand Saline, TX. COUNTRY TRAILS HOSPICE,LTD. NPI is 1952418337. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Wood Hospice Care.

The provider's business location address is:

121 E FRANK ST
GRAND SALINE, TX
ZIP 75140-823
Phone: (903) 962-7597
Fax: (903) 962-3406

The provider's authorized official is Stephen A. Marinick .
The authorized official title is President Of The General Partner and has the following contact phone number (903) 962-7595.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 2/17/2011.

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
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	671567	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	67-1567	OTHER	TEXAS	MEDICARE PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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