NPIMap

Organization Active NPI

College Station II Enterprises, LLC

Doing business as Lampstand Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Bryan, TX
National Provider Identifier
1295377067
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLLEGE STATION II ENTERPRISES, LLC
Doing business as
Lampstand Nursing and Rehabilitation
Practice address
2001 E 29TH St
Bryan, TX 77802-1954
Phone
(979) 822-6611
NPI assigned
Oct 14, 2019
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

2001 E 29TH St
Bryan, TX 77802-1954

Mailing address

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

Other names 1

  • Lampstand 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
O20191122002208 TX Part A Provider - Skilled Nursing Facility 4880026228 Practice locations: Bryan, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295377067. Details of each certification follow.

Skilled nursing facility certification: CCN 676019

Legal name
COLLEGE STATION II ENTERPRISES, LLC
Doing business as
LAMPSTAND NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 19, 2004
Last certification
Jan 9, 2024
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Creative Solutions in Healthcare
Organization structure
LLCProprietary
Enrollment address
2001 E 29TH St
Bryan, TX 77802-1954
Nursing home name
LAMPSTAND NURSING AND REHABILITATION
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lampstand Nursing and RehabilitationCCN 676019 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 19, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14077.6 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
2Fines totaling $31,460

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 Dec 1, 2019 50%
Operational/Managerial ControlMember Dec 1, 2019 50%
Gary R Blake Individual 5% Or Greater Indirect Ownership InterestManaging Member Dec 1, 2019 50%
Operational/Managerial ControlManaging Member Dec 1, 2019 50%
Linda F Huggins Individual W-2 Managing EmployeeVP of Accounts Receivable Dec 1, 2019
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2019 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company, For-profit Operational/Managerial Control Dec 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 4

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": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1295377067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FORT 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": "2001 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021954",
            "telephone_number": "979-822-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION II ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lampstand Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lampstand Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.