Chisholm Trail Scal LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHISHOLM TRAIL SCAL LLC

Doing business as

Chisholm Trail Senior Living

Practice address

5100 Randol Mill Rd
Fort Worth, TX 76112-1553

Phone

(866) 304-6801

Fax

(972) 300-3640

NPI assigned

Apr 21, 2026

Last updated

Apr 21, 2026By 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

Dian Burns

Title

Administrator

Phone

(866) 304-6801

Specialties & licenses 1

Addresses

Other names 1

• Chisholm Trail Senior Living Doing business as

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1710822267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "866-304-6801",
            "fax_number": "972-300-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RANDOL MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121553",
            "telephone_number": "866-304-6801",
            "fax_number": "972-300-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM TRAIL SCAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-304-6801"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chisholm Trail Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chirotech, Inc (Chirotech Chiropractic)
• Chisholm Trail E-Therapy and Counseling, PLLC
• Chisholm Trail Emergency Center (iCare Emergency Room)
• Chisholm Trail Oral Surgery PLLC
• Chisholm Trail Orthopedics & Sports Medicine, LLLP
• Allison Gail Chisholm, M.D
• Edward Lee Chisholm, MS, LAT, ATC
• Edna Chism Nicholas
• Anthony L Chism
• Chilando Melody Chitobolo, LPC-A

• Rehabilitation Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.