Cheyenne Trace, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000124 Issued in TN

Legal business name

CHEYENNE TRACE, LLC

Practice address

14800 St. Mary'S Lane
Suite 175
Houston, TX 77079

Phone

(832) 448-3700

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Jake Hallsted

Title

President

Phone

(832) 448-3700

Specialties & licenses 1

Addresses

Other names 1

• Cheyenne Trace Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407889678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHEYENNE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055412",
            "telephone_number": "731-661-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 ST. MARY'S LANE",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77079",
            "telephone_number": "832-448-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE TRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-448-3700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Trace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercades Chevis, LPC, LCDC
• Pierre-Yves M. Chevray, M.D., PHD
• Chew Transportation
• Lindsey Chew
• Cheyenne Center, Inc.
• Fiona Marie Cheyne, LPC
• CHG Cornerstone Hospital of Houston
• CHG Cornerstone Hospital of Houston, L.P.
• CHG Cornerstone Hospital of South Houston, LP
• CHG Hospital Medical Center, LLC

• Assisted Living Facility in Houston, TX
• Providers in Houston, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.