Active NPI
Ekklesia Healthcare, L.L.C.
- Skilled Nursing Facility
- Grand Saline, TX
National Provider Identifier
1790842714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 118979
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014774 | Medicaid | TX | |
| 021897601 | Medicaid | TX |
Other names 1
- Azalea Trail Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 19, 1994
- Medicare certification status
- Active
- Certified beds
- 72
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 10, 2025 | ||
| Indirect Ownership Interest | Aug 15, 2016 | ||
| Patricia Diane Ward | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 50% |
| Operational/Managerial Control | Jan 1, 2007 | ||
| Adp of the SNF | Jan 1, 2007 | ||
| Direct Ownership Interest | Jan 1, 2007 | 50% | |
| Adp of the SNF | Jan 10, 2025 | ||
| Indirect Ownership Interest | Nov 18, 2024 | ||
| Michael Ward | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 50% |
| Adp of the SNF | Jan 1, 2007 | ||
| Direct Ownership Interest | Jan 1, 2007 | 50% | |
| Adp of the SNF | Jan 10, 2025 | ||
| 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.
-
- Family Medicine Physician
- Troup, TX
- NPI 1588695423
-
- Family Medicine Physician
- Canton, TX
- NPI 1750306536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.