Chisholm Trail Retirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 6903-6903 Issued in OK

Legal business name

CHISHOLM TRAIL RETIREMENT COMMUNITY

Doing business as

Chisholm Trail Assisted Living

Practice address

625 Chisholm Trail Pkwy
Duncan, OK 73533-2205

Phone

(580) 470-8600

NPI assigned

Oct 13, 2009

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dustin Rex Cox

Title

Owner

Phone

(580) 470-8600

Specialties & licenses 1

Addresses

Other names 1

• Chisholm Trail Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1104151877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CHISHOLM TRAIL PKWY",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735332205",
            "telephone_number": "580-470-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CHISHOLM TRAIL PKWY",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735332205",
            "telephone_number": "580-470-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM TRAIL RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-470-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL 6903-6903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chisholm Trail Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centurion Emergency Partners LLC
• Elizabeth Anne Cerney
• Sarah Ann Chancey, DDS
• Che Miller MD PLLC
• Chisholm Trail Physical Therapy & Sports Rehab
• Chisholm Trial Imaging LLC
• John Martin Chmiel, B.S.
• Bree Churchman, RBT
• James Clare II
• Jordan Cody

• Assisted Living Facility in Duncan, OK
• Providers in Duncan, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.