NPIMap

Organization Active NPI

Glen Rose I Enterprises, LLC

Doing business as Cherokee Rose Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Glen Rose, TX
National Provider Identifier
1114200805
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLEN ROSE I ENTERPRISES, LLC
Doing business as
Cherokee Rose Nursing and Rehabilitation
Practice address
203 Gibbs Blvd
Glen Rose, TX 76043-4309
Phone
(254) 897-7361
Fax
(254) 897-3970
NPI assigned
Sep 20, 2011
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Blake
Title
Managing Member
Phone
(817) 348-8959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

203 Gibbs Blvd
Glen Rose, TX 76043-4309

Mailing address

203 Gibbs Blvd
Glen Rose, TX 76043-4309
Phone (254) 897-7361

Other identifiers 2

IdentifierTypeStateIssuer
005306OtherTXFACILITY ID
001019945MedicaidTX

Other names 1

  • Cherokee Rose Nursing and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000347 TX Part A Provider - Skilled Nursing Facility 7416120720 Practice locations: Glen Rose, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114200805. Details of each certification follow.

Skilled nursing facility certification: CCN 675008

Legal name
GLEN ROSE I ENTERPRISES LLC
Doing business as
CHEROKEE ROSE NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 17, 1992
Last certification
Dec 13, 2024
Beds
102
Ownership / control type
Corporation
Multi-facility organization
Creative Solutions in Healthcare
Organization structure
LLCProprietary
Enrollment address
203 E Gibbs Blvd
Glen Rose, TX 76043-4309
Nursing home name
CHEROKEE ROSE NURSING AND REHABILITATION
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cherokee Rose Nursing and RehabilitationCCN 675008 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 17, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10250.8 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

203 W Gibbs Blvd
Glen Rose, TX 76043
Phone (254) 897-2202

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Malisa a Blake Individual 5% Or Greater Indirect Ownership InterestMember Jun 1, 2011 50%
Operational/Managerial ControlMember Nov 1, 2011 50%
Gary R Blake Individual 5% Or Greater Indirect Ownership InterestManaging Member Jun 10, 2011 50%
Operational/Managerial ControlManaging Member Nov 1, 2011 50%
Linda F Huggins Individual W-2 Managing EmployeeVP of Accounts Receivable Nov 1, 2011
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 9, 2013 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company, For-profit Operational/Managerial Control Nov 1, 2011 100%

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1114200805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GIBBS BLVD",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434309",
            "telephone_number": "254-897-7361",
            "fax_number": "254-897-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GIBBS BLVD",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434309",
            "telephone_number": "254-897-7361",
            "fax_number": "254-897-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROSE I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-348-8959"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "005306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Rose Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherokee Rose Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Rose, TX

Sources for this page

Verify at the official NPI Registry.