Camp Healthcare Partners LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAMP HEALTHCARE PARTNERS LLC

Doing business as

Country Trails Wellness & Rehabilitation Center

Practice address

1638 VZ CR 1803
Grand Saline, TX 75140-3494

Phone

(903) 962-7595

Fax

(903) 962-7202

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Charles G Gladney Jr.

Title

Manager

Phone

(318) 281-0078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Trails Wellness & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1861887101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 VZ CR 1803",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751403494",
            "telephone_number": "903-962-7595",
            "fax_number": "903-962-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-281-0078",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026844",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Trails Wellness & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Eve Brewington
• Kimberly Susan Brewington, LPC-ASSOCIATE
• Brookshire Grocery Company
• Clovis Jean Brown
• BT Medical Supplie LLC
• Sheila Carroll, PHD
• Ronnie D Carter, DVM
• Robert Chesnut
• Sarah Chesnut, LHS
• Chesnut'S Hearing Aid Center

• 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 Apr 22, 2015; 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.