AZALEA TRAILS
NPI 1568521094
Skilled Nursing Facility in Grand Saline, TX

NPI Status: Active since December 08, 2006

Contact Information

411 SPRING CREEK
GRAND SALINE, TX
ZIP 75140
Phone: (903) 962-4226
Fax: (903) 962-4492

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 45D0967917
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 11-28-2025

About AZALEA TRAILS

This page provides the complete NPI Profile along with additional information for Azalea Trails, a provider established in Grand Saline, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1568521094 assigned on December 2006. The practitioner's primary taxonomy code is 314000000X with license number 118979 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Azalea Trails. The authorized official of this NPI record is Mrs. Patricia Diane Ward (Ceo President)

NPI
1568521094
Provider Legal Name
PYRAMID HEALTHCARE CORP
Other Organization Name
AZALEA TRAILS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
411 SPRING CREEK GRAND SALINE, TX 75140
Location Phone
(903) 962-4226
Location Fax
(903) 962-4492
Mailing Address
PO BOX 2105 WHITNEY, TX 76692
Mailing Phone
(254) 580-9424
Mailing Fax
(903) 962-4492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
118979
License State
TX
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PATRICIA DIANE WARD

Authorized Official Title
CEO PRESIDENT
Authorized Official Phone
(254) 580-9424

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0967917
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
November 29, 2023
Certificate Expiration Date
November 28, 2025
Laboratory Director
JOHN K. PATTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Azalea Trails to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568521094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281022018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 2 + 2 + 0 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1568521094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568521094, enumerated in the NPI registry as an "organization" on December 08, 2006

The provider is located at 411 Spring Creek Grand Saline, Tx 75140 and the phone number is (903) 962-4226

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 45D0967917 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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