Organization Active NPI

Lone Star Expeditions, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Groveton, TX
National Provider Identifier
1174759385
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
822139 Issued in TX
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

Updated by the provider on Jun 2, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.