LONE STAR CIRCLE OF CARE (NPI# 1578515987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578515987 |
| Entity Type | Organization |
| Organization Name | LONE STAR CIRCLE OF CARE |
| Other Organization Name | GRANGER MEDICAL CENTER |
| Practice Address |
115 West Davilla Granger TX 76530 |
| Mailing Address |
1500 W University Ave Suite 103 Georgetown TX 78628-7108 |
| Practice Telephone | 5128592251 |
| Practice Fax Number | 5128592575 |
| Mailing Telephone | 5128681124 |
| Mailing Fax Number | 5128689894 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | MR. PETER C PERIALAS JR. (CEO) |
| Authorized Official Telephone | 5128681124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Granger Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588096473 | Lone Star Circle of Care | Social Worker | 101 Fm 685, Hutto, TX 78634-5540 | 2013-08-02 |
| 1780923045 | Lone Star Circle of Care | Clinic/Center | 11111 Research Blvd Ste 295, Austin, TX 78759-5281 | 2013-02-06 |
| 1346550464 | Lone Star Circle of Care | Clinic/Center | 600 S 25th St, Temple, TX 76504-5227 | 2010-10-08 |
| 1245554583 | Lone Star Circle of Care | Pharmacy | 3950 North Aw Grimes, Suite N105, Round Rock, TX 78665 | 2010-03-16 |
| 1003051673 | Lone Star Circle of Care | Clinic/Center | 905 Ih 35 N, Suite 109, Round Rock, TX 78664-4254 | 2008-12-10 |
| 1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
| 1639225550 | Lone Star Circle of Care | Case Manager/Care Coordinator | 3102 Minthorn Dr, Killeen, TX 76542-1932 | 2007-01-25 |
| 1447316898 | Lone Star Circle of Care | Clinic/Center | 2300 Round Rock Ave Ste 208, Round Rock, TX 78681-4026 | 2006-12-29 |
| 1437109881 | Lone Star Circle of Care | Clinic/Center | 1099 East Main Street, Suite 200, Round Rock, TX 78664 | 2006-05-10 |
| 1881236982 | Lone Star Circle of Care | Pediatrics | 4849 Calhoun Rd Ste 1001a, Houston, TX 77204-2043 | 2019-10-10 |
| Street Address |
115 WEST DAVILLA |
| City | GRANGER |
| State | TX |
| Zip Code | 76530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801909783 | William A. Pavlat | Dentist | 101 E. Davilla, Granger, TX 76530 | 2006-08-16 |
| 1780765131 | Granger Villa Inc | Skilled Nursing Facility | 800 N Commerce, Granger, TX 76530-0398 | 2006-10-18 |
| 1174787055 | Crc | Community Based Residential Treatment Facility, Mental Illness | 2301 County Road 156, Granger, TX 76530-5255 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1780295956 | Danielle Brown | Physician Assistant | 10380 Adams Rd, Granger, IN 46530-8608 | 2020-08-12 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| Find all providers in GRANGER | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1982077327 | Yakima Neighborhood Health Services | Clinic/Center | 111 Main Street, Granger, WA 98932 | 2015-11-06 |
| 1497124861 | Yakima Neighborhood Health Services | Clinic/Center | 111 Main Street, Granger, WA 98932 | 2015-09-16 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.