Pyramid Healthcare Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118979 Issued in TX

Legal business name

PYRAMID HEALTHCARE CORP

Doing business as

Azalea Trails

Practice address

411 Spring Creek
Grand Saline, TX 75140

Phone

(903) 962-4226

Fax

(903) 962-4492

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By 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

Mrs. Patricia Diane Ward

Title

Ceo President

Phone

(254) 580-9424

Specialties & licenses 1

Addresses

Other names 1

• Azalea Trails Doing business as

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568521094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2105",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766925105",
            "telephone_number": "254-580-9424",
            "fax_number": "254-580-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SPRING CREEK",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "75140",
            "telephone_number": "903-962-4226",
            "fax_number": "903-962-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "254-580-9424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Trails",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwenda Ordin
• Charles J Perritt, LPC-A, LCDCI
• Lisa Phillips, FNP-C
• Maryann Kimball Phillips, COTA
• Sherri Phillips
• Megan Isabelle Richards, PHARM. D
• Anthoni R Romack, M.D.
• Ronald D. Sherbert, D.O. P.a.
• S Grand Saline Operations LLC
• Ashfaque G Saya, MD

• Skilled Nursing Facility in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Skilled Nursing 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.