NPIMap

Organization Active NPI

San Antonio I Enterprises, LLC

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1245709765
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAN ANTONIO I ENTERPRISES, LLC
Practice address
921 Nolan St
San Antonio, TX 78202-2323
Phone
(210) 226-6397
Fax
(210) 226-8074
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

921 Nolan St
San Antonio, TX 78202-2323

Mailing address

4150 International PLZ Ste 600
Fort Worth, TX 76109-4831

Other names 1

  • River City Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308000228 TX Part A Provider - Skilled Nursing Facility 7416296439 Practice locations: San Antonio, TX

Skilled nursing facility certification: CCN 675896

Legal name
SAN ANTONIO I ENTERPRISES LLC
Doing business as
RIVER CITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 30, 2001
Last certification
May 3, 2024
Beds
92
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
921 Nolan St
San Antonio, TX 78202-2323
Nursing home name
RIVER CITY CARE CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
River City Care CenterCCN 675896
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 30, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9246.7 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $18,503

Processed by Care Compare on Aug 1, 2026.

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 Jan 1, 2019 50%
Operational/Managerial ControlMember Jan 1, 2019 50%
Gary R Blake Individual 5% Or Greater Indirect Ownership InterestManaging Member Jan 1, 2019 50%
Operational/Managerial ControlManaging Member Jan 1, 2019 50%
Linda F Huggins Individual W-2 Managing EmployeeVP of Accounts Receivable Jan 1, 2019
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company, For-profit Operational/Managerial Control Jan 1, 2019 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": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1245709765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NOLAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022323",
            "telephone_number": "210-226-6397",
            "fax_number": "210-226-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "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": "River City Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.