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CHISHOLM TRAIL ASSISTED LIVING
NPI 1104151877
Assisted Living Facility in Duncan, OK

Active since October 13, 2009CLIA 37D2200849 · Waiver
625 CHISHOLM TRAIL PKWY, DUNCAN, OK 73533(580) 470-8600 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chisholm Trail Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHISHOLM TRAIL ASSISTED LIVING (NPI 1104151877) is a healthcare organization registered as an assisted living facility in Duncan, Oklahoma and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Dustin Rex Cox, Owner, as its authorized official.

NPPES Registry Identity

NPI1104151877
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHISHOLM TRAIL RETIREMENT COMMUNITY
Location Address625 CHISHOLM TRAIL PKWYDuncan, OK 73533-2205
Mailing Address625 Chisholm Trail PkwyDuncan, OK 73533-2205 · (580) 470-8600
Phone(580) 470-8600
Organization SubpartNo
Authorized OfficialDustin Rex CoxOwner · (580) 470-8600
Enumeration DateOctober 13, 2009
✔ NPI 1104151877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OK · AL 6903-6903
Definition
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.
625 CHISHOLM TRAIL PKWY, Duncan, OK 73533
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Other Names 1

Doing Business AsChisholm Trail Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2200849

Chisholm Trail Assisted Living · Duncan, OK
Active · expires Nov 16, 2026
CLIA Number37D2200849
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDustin R. Cox
Laboratory Phone(580) 740-8600
Laboratory LocationChisholm Trail Assisted Living625 Chisholm Trail Pkwy, Duncan, OK 73533
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chisholm Trail Retirement Community's NPI number?

The NPI number for Chisholm Trail Retirement Community is 1104151877. It was assigned to this organization in the NPPES registry on October 13, 2009. The provider is doing business as Chisholm Trail Assisted Living.

Where is Chisholm Trail Retirement Community located?

Chisholm Trail Retirement Community is located at 625 Chisholm Trail Pkwy, Duncan, OK 73533. The listed phone number is (580) 470-8600.

What is Chisholm Trail Retirement Community's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Chisholm Trail Retirement Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2200849) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chisholm Trail Retirement Community was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.