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GOOD TREE RETIREMENT
NPI 1306108592
Assisted Living Facility in Stephenville, TX

Active since June 13, 2012CLIA 45D2198965 · Waiver
2010 GOOD TREE ST, STEPHENVILLE, TX 76401(254) 965-9897(254) 918-6003 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Tree Retirement NPPES

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

GOOD TREE RETIREMENT (NPI 1306108592) is a healthcare organization registered as an assisted living facility in Stephenville, Texas and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Greg P Boemer, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1306108592
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCSL CE STEPHENVILLE, LLC
Location Address2010 GOOD TREE STStephenville, TX 76401-6026
Mailing Address14160 Dallas Pkwy Ste 300Dallas, TX 75254-4383 · (972) 308-8366 · Fax (972) 387-8216
Phone(254) 965-9897
Fax(254) 918-6003
Organization SubpartNo
Authorized OfficialGreg P BoemerRegional Manager · (214) 244-2300
Enumeration DateJune 13, 2012
✔ NPI 1306108592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
2010 GOOD TREE ST, Stephenville, TX 76401
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Other Names 1

Doing Business AsGood Tree Retirement

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 45D2198965

Good Tree Retirement & Memories At Good Tree · Stephenville, TX
Active · expires Nov 3, 2026
CLIA Number45D2198965
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMarilyn Kilcrease
Laboratory Phone(254) 965-9897
Laboratory LocationGood Tree Retirement & Memories At Good Tree2010 Good Tree St, Stephenville, TX 76401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELECT OPERATIONS OF STEPHENVILLE LLC
Assisted Living Facility
2010 GOOD TREE ST
STEPHENVILLE, TX 76401
Erath County (254) 965-9897
LAUREN DUQUE PT
Physical Therapist
2010 GOOD TREE ST
STEPHENVILLE, TX 76401
Erath County (254) 434-6914
JENNIFER MCQUERRY
Physical Therapy Assistant
2010 GOOD TREE ST
STEPHENVILLE, TX 76401
Erath County (254) 965-9897
MEAGAN ELLNER OTR, OTD
Occupational Therapist
2010 GOOD TREE ST
STEPHENVILLE, TX 76401
Erath County (254) 965-9897
AEGIS GROUP PRACTICE LLC
Physical Therapist
2010 GOOD TREE ST
STEPHENVILLE, TX 76401
Erath County (800) 444-6845

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 Csl Ce Stephenville, LLC's NPI number?

The NPI number for Csl Ce Stephenville, LLC is 1306108592. It was assigned to this organization in the NPPES registry on June 13, 2012. The provider is doing business as Good Tree Retirement.

Where is Csl Ce Stephenville, LLC located?

Csl Ce Stephenville, LLC is located at 2010 Good Tree St, Stephenville, TX 76401. The listed phone number is (254) 965-9897.

What is Csl Ce Stephenville, LLC's specialty?

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

Does Csl Ce Stephenville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2198965) is associated with this NPI, valid through November 3, 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 Csl Ce Stephenville, LLC was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.