NPIMap

Organization Active NPI

Kerens I Enterprises, LLC

Doing business as Kerens Care Center

  • Skilled Nursing Facility
  • Kerens, TX
National Provider Identifier
1316415532
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KERENS I ENTERPRISES, LLC
Doing business as
Kerens Care Center
Practice address
809 NE 4TH St
Kerens, TX 75144-2715
Phone
(903) 396-3211
Fax
(903) 396-2419
NPI assigned
Nov 6, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

809 NE 4TH St
Kerens, TX 75144-2715

Mailing address

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

Other names 1

  • Kerens 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
O20190506001532 TX Part A Provider - Skilled Nursing Facility 6002154325 Practice locations: Kerens, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316415532. Details of each certification follow.

Skilled nursing facility certification: CCN 675867

Legal name
KERENS I ENTERPRISES LLC
Doing business as
KERENS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 14, 2001
Last certification
Apr 10, 2025
Beds
70
Ownership / control type
Corporation
Multi-facility organization
Yes Creative Solutions
Most recent change of ownership
Jan 1, 2019
Organization structure
LLCProprietary
Enrollment address
809 NE 4TH St
Kerens, TX 75144-2715
Nursing home name
KERENS CARE CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kerens Care CenterCCN 675867 · 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 - Corporation
Certified
Mar 14, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7040.3 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

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1316415532",
    "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": "809 NE 4TH ST",
            "city": "KERENS",
            "state": "TX",
            "postal_code": "751442715",
            "telephone_number": "903-396-3211",
            "fax_number": "903-396-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERENS I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROBERT",
        "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": "Kerens Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerens, TX

Sources for this page

Verify at the official NPI Registry.