Organization Active NPI

Ekklesia Healthcare, L.L.C.

  • Skilled Nursing Facility
  • Grand Saline, TX
National Provider Identifier
1790842714
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
118979 Issued in TX
Legal business name
EKKLESIA HEALTHCARE, L.L.C.
Doing business as
Azalea Trail Nursing and Rehabilitation Center
Practice address
411 Spring Creek Road
Grand Saline, TX 75140
Phone
(903) 962-4226
Fax
(903) 962-4492
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mrs. Patricia Diane Ward
Title
President
Phone
(254) 580-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 118979 TX Primary

Addresses

Primary practice location

411 Spring Creek Road
Grand Saline, TX 75140

Mailing address

PO Box 2576
101 N. Brazos Street
Whitney, TX 76692-5576
Phone (254) 694-3555

Other identifiers 2

IdentifierTypeStateIssuer
001014774MedicaidTX
021897601MedicaidTX

Other names 1

  • Azalea Trail Nursing and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000692 TX Part A Provider - Skilled Nursing Facility 3476651845 Practice locations: Grand Saline, TX

Skilled nursing facility certification: CCN 675253

Legal name
EKKLESIA HEALTHCARE, LLC
Doing business as
AZALEA TRAIL NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 19, 1994
Last certification
May 14, 2025
Beds
72
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 1, 2007
Organization structure
LLCProprietary
Incorporated
Aug 25, 2006 in TX
Enrollment address
411 Spring Creek Rd
Azalea Trail Nursing and Rehabiliation Center
Grand Saline, TX 75140-1944
Nursing home name
AZALEA TRAIL NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Azalea Trail Nursing and Rehabilitation CenterCCN 675253 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 19, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7262.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

101 N Brazos St
Whitney, TX 76692

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Adp of the SNF Jan 10, 2025
Indirect Ownership Interest Aug 15, 2016
Patricia Diane Ward Individual 5% Or Greater Direct Ownership InterestManaging Member/ Owner Jan 1, 2007 50%
Operational/Managerial Control Jan 1, 2007
Adp of the SNF Jan 1, 2007
Direct Ownership Interest Jan 1, 2007 50%
Individual Adp of the SNF Jan 10, 2025
Indirect Ownership Interest Nov 18, 2024
Michael Ward Individual 5% Or Greater Direct Ownership InterestManaging Member/ Owner Jan 1, 2007 50%
Adp of the SNF Jan 1, 2007
Direct Ownership Interest Jan 1, 2007 50%
Individual Adp of the SNF Jan 10, 2025
Individual Adp of the SNF Jan 10, 2025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1790842714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2576",
            "address_2": "101 N. BRAZOS STREET",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766925576",
            "telephone_number": "254-694-3555",
            "fax_number": "254-694-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SPRING CREEK ROAD",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "75140",
            "telephone_number": "903-962-4226",
            "fax_number": "903-962-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKKLESIA HEALTHCARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014774",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021897601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Trail Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Saline, TX

Sources for this page

Verify at the official NPI Registry.