Active NPI
Lone Star Expeditions, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Groveton, TX
National Provider Identifier
1174759385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 822139
- Legal business name
- LONE STAR EXPEDITIONS, INC.
- Practice address
- 1728 Forest Road 5101
Groveton, TX 75845 - Phone
- (936) 831-3133
- NPI assigned
- Jun 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary C, Covington
- Title
- Insurance Biller
- Phone
- (801) 466-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 822139 | TX | Primary |
Addresses
Primary practice location
1728 Forest Road 5101
Groveton, TX 75845
Mailing address
1728 Forest Road 5101
Groveton, TX 75845
Phone (936) 831-3133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243900800000",
"number": "1174759385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 FOREST ROAD 5101",
"city": "GROVETON",
"state": "TX",
"postal_code": "75845",
"telephone_number": "936-831-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 FOREST ROAD 5101",
"city": "GROVETON",
"state": "TX",
"postal_code": "75845",
"telephone_number": "936-831-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR EXPEDITIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A",
"authorized_official_last_name": "COVINGTON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C,",
"authorized_official_title_or_position": "INSURANCE BILLER",
"authorized_official_telephone_number": "801-466-3838",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "TX",
"license": "822139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groveton, TX
- Groveton Independent School District
- Groveton Texas Hospital Authority
- Groveton Texas Hospital Authority (Goveton Nursing Home)
- Ruth Nicole Johnson, RN
- Keith Edward Jones, PA-C
- Francis Dawn McElreath, CPHT
- Melanie L Parker, FNP
- Marc Provenzano
- Jasmine Reyna
- Heather Spangler-Curry, BEHAVIOR TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.