1. Home
  2. Directory
  3. Texas
  4. Crockett
  5. Assisted Living Facility
  6. NPI Profile

ENCHANTED PINES
NPI 1740474261
Assisted Living Facility in Crockett, TX

Active since August 28, 2007
1154 E LOOP 304, CROCKETT, TX 75835(936) 544-5065(936) 546-2694 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enchanted Pines NPPES

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

ENCHANTED PINES (NPI 1740474261) is a healthcare organization registered as an assisted living facility in Crockett, Texas and active in the NPI registry since August 2007. The organization lists Catherine Mccall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740474261
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameENCHANTED PINES, INC.
Location Address1154 E LOOP 304Crockett, TX 75835-1810
Mailing Address1154 E Loop 304Crockett, TX 75835-1810 · (936) 544-5065 · Fax (936) 546-5674
Phone(936) 544-5065
Fax(936) 546-2694
Organization SubpartNo
Authorized OfficialCatherine MccallAdministrator · (936) 545-6889
Enumeration DateAugust 28, 2007
Last NPPES UpdateNovember 3, 2014
✔ NPI 1740474261 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 TX · 000617
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.
1154 E LOOP 304, Crockett, TX 75835
Open in Google Maps ↗

Other Names 1

Doing Business AsEnchanted Pines

Other Identifiers 2

Medicaid001004039TX
Medicaid001004040TX

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 Enchanted Pines, Inc.'s NPI number?

The NPI number for Enchanted Pines, Inc. is 1740474261. It was assigned to this organization in the NPPES registry on August 28, 2007. The provider is doing business as Enchanted Pines.

Where is Enchanted Pines, Inc. located?

Enchanted Pines, Inc. is located at 1154 E Loop 304, Crockett, TX 75835. The listed phone number is (936) 544-5065.

What is Enchanted Pines, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Enchanted Pines, Inc. was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.