EARLY TRAIL INC (NPI# 1720494214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720494214 |
| Entity Type | Organization |
| Organization Name | EARLY TRAIL INC |
| Practice Address |
322 Early Trail San Antonio TX 78228 |
| Practice Telephone | 2108885486 |
| Practice Fax Number | 2102770487 |
| Mailing Telephone | 2108885486 |
| Mailing Fax Number | 2102770487 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | CAMELIA PRODAN (MANAGER) |
| Authorized Official Telephone | 2108885486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
322 EARLY TRAIL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827595 | Paam Care, LLC. | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| 1912273590 | Loma Park Assisted Living Inc | Assisted Living Facility | 1014 Nw 38th Street, San Antonio, TX 78228 | 2012-03-28 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878598 | Lions Love LLC | Assisted Living Facility | 5303 Hamilton Wolfe Rd Apt 601, San Antonio, TX 78229-4363 | 2020-07-15 |
| 1871128280 | Ridge Oak Assisted Living, LLC | Assisted Living Facility | 13919 Ridge Oak Pkwy, San Antonio, TX 78249-1505 | 2020-03-05 |
| 1417505132 | Snh Longhorn Tenant LLC | Assisted Living Facility | 575 Knights Cross Dr, San Antonio, TX 78258-3342 | 2019-08-27 |
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1396209631 | Claudette Cynthia Roberts | Assisted Living Facility | 16906 Turkey Point St, San Antonio, TX 78232-1831 | 2019-01-30 |
| 1083190664 | Tony C Moffett Sr. | Assisted Living Facility | 6047 Still Mdw, San Antonio, TX 78222-3425 | 2018-07-17 |
| 1063906337 | Felicity Care Home LLC | Assisted Living Facility | 7923 Stebbins St, San Antonio, TX 78240-2620 | 2018-06-19 |
| 1316448723 | Concierge Sernior Service Enterprises | Assisted Living Facility | 4154 Swans Lndg, San Antonio, TX 78217-4245 | 2018-02-22 |
| 1295235901 | Ec Opco Windcrest, LLC | Assisted Living Facility | 6849 Crestway Rd, San Antonio, TX 78239-2321 | 2018-02-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
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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.