Healthcare Provider Details

I. General information

NPI: 1316519846
Provider Name (Legal Business Name): WHISPERING PINES HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S ROBB ST
TRINITY TX
75862-7602
US

IV. Provider business mailing address

808 S ROBB ST
TRINITY TX
75862-7602
US

V. Phone/Fax

Practice location:
  • Phone: 936-336-7400
  • Fax: 936-336-5768
Mailing address:
  • Phone: 936-336-7400
  • Fax: 936-336-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SOON BURNAM
Title or Position: TREASURER
Credential:
Phone: 949-540-1249