Organization Active NPI

Refugio II Enterprises, L.L.C.

Doing business as Mission Ridge Rehab & Nursing Center

  • Skilled Nursing Facility
  • Refugio, TX
National Provider Identifier
1174111447
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REFUGIO II ENTERPRISES, L.L.C.
Doing business as
Mission Ridge Rehab & Nursing Center
Practice address
401 Swift St
Refugio, TX 78377-2459
Phone
(940) 387-4388
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 Primary

Addresses

Primary practice location

401 Swift St
Refugio, TX 78377-2459

Mailing address

4150 International PLZ Ste 200
Ft Worth, TX 76109-4875
Phone (817) 348-8959

Other names 1

  • Mission Ridge Rehab & Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210308002399 TX Part A Provider - Skilled Nursing Facility 8628484110 Practice locations: Refugio, TX

Skilled nursing facility certification: CCN 676491

Legal name
REFUGIO II ENTERPRISES, LLC
Doing business as
MISSION RIDGE REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 14, 2020
Last certification
Nov 23, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 13, 2020 in TX
Enrollment address
401 Swift St
Refugio, TX 78377-2459
Nursing home name
MISSION RIDGE REHAB & NURSING CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mission Ridge Rehab & Nursing CenterCCN 676491 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 14, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9041.4 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
3Fines totaling $37,698

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0933189Mission Ridge Rehab & Nursing Center401 Swift Street, Refugio, TX 78377Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory

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 Mar 1, 2021 50%
Operational/Managerial ControlMember Mar 1, 2021 50%
Gary R Blake Individual 5% Or Greater Indirect Ownership InterestManaging Member Mar 1, 2021 50%
Operational/Managerial ControlManaging Member Mar 1, 2021 50%
Linda F Huggins Individual W-2 Managing EmployeeVP of Accounts Receivable Mar 1, 2021
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2021 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company, For-profit Operational/Managerial Control Feb 1, 2022 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.

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1174111447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094875",
            "telephone_number": "817-348-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SWIFT ST",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "783772459",
            "telephone_number": "940-387-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGIO II ENTERPRISES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Ridge Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Ridge Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Refugio, TX

Sources for this page

Verify at the official NPI Registry.