# EKKLESIA HEALTHCARE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azalea Trail Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790842714
- **Authorized official:** MRS. PATRICIA DIANE WARD (PRESIDENT)
- **Authorized official phone:** (254) 580-9424

## Contact information

- **Practice address:** 411 SPRING CREEK ROAD, GRAND SALINE, TX 75140
- **Practice address phone:** (903) 962-4226
- **Practice address fax:** (903) 962-4492
- **Mailing address:** PO BOX 2576, 101 N. BRAZOS STREET, WHITNEY, TX 76692-5576
- **Mailing address phone:** (254) 694-3555
- **Mailing address fax:** (254) 694-4252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 118979 | TX | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 01/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014774 | — | TX |
| 05 | — | 021897601 | — | TX |