Country Trails Hospice,LTD.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COUNTRY TRAILS HOSPICE,LTD.

Doing business as

Autumn Wood Hospice Care

Practice address

121 E Frank St
Grand Saline, TX 75140-1823

Phone

(903) 962-7597

Fax

(903) 962-3406

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Stephen A. Marinick

Title

President of the General Partner

Phone

(903) 962-7595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Autumn Wood Hospice Care Doing business as

Locations

Practitioners 1

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

• David Edward Monty, D.C.

  • Chiropractor
  • Grand Saline, TX
  • NPI 1043357999
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1952418337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751400588",
            "telephone_number": "903-962-7597",
            "fax_number": "903-962-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E FRANK ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401823",
            "telephone_number": "903-962-7597",
            "fax_number": "903-962-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY TRAILS HOSPICE,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MARINICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT OF THE GENERAL PARTNER",
        "authorized_official_telephone_number": "903-962-7595"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "67-1567",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wood Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chesnut'S Hearing Aid Center
• Chesnut'S Hearing Aid Center
• City of Grand Saline
• Janice Colegrove
• Community Urgent Care, LLC
• Cozby-Germany Hospital
• Jerome R Crane, PA
• Katherine Dheere, MA-CCC-SLP
• Dierksen Hospice LLC
• East Texas Medical Center Quitman

• Community Based Hospice Care Agency in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.