Active NPI
Westward I Enterprises, LLC
- Skilled Nursing Facility
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WESTWARD I ENTERPRISES, LLC
- Practice address
- 3001 Westward Dr
Nacogdoches, TX 75964-1232 - Phone
- (936) 569-2631
- Fax
- (936) 569-0590
- NPI assigned
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3001 Westward Dr
Nacogdoches, TX 75964-1232
Mailing address
4150 International PLZ Ste 600
Ft Worth, TX 76109-4831
Phone (817) 348-8959
Other names 1
- Westward Trails Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210506002740 | TX | Part A Provider - Skilled Nursing Facility | 0547679326 | Practice locations: Nacogdoches, TX |
Skilled nursing facility certification: CCN 455959
- Legal name
- WESTWARD I ENTERPRISES LLC
- Doing business as
- WESTWARD TRAILS NURSING AND REHABILATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 15, 1991
- Last certification
- Apr 24, 2024
- Beds
- 108
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Mar 30, 2021 in TX
- Enrollment address
- 3001 Westward Dr
Nacogdoches, TX 75964-1232 - Nursing home name
- WESTWARD TRAILS NURSING AND REHABILITATION
- Affiliated entity
- CREATIVE SOLUTIONS IN HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westward Trails Nursing and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 15, 1991
- Medicare certification status
- Active
- Certified beds
- 108
- Chain
- Creative Solutions in Healthcare
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Malisa a Blake | 5% Or Greater Indirect Ownership Interest | May 1, 2021 | 50% |
| Operational/Managerial Control | May 1, 2021 | 50% | |
| Gary R Blake | 5% Or Greater Indirect Ownership Interest | May 1, 2021 | 50% |
| Operational/Managerial Control | May 1, 2021 | 50% | |
| Linda F Huggins | W-2 Managing Employee | May 1, 2021 | |
| Honor X Enterprises, LLC | 5% Or Greater Direct Ownership Interest | May 1, 2021 | 100% |
| Creative Solutions in Healthcare Inc | Operational/Managerial Control | May 1, 2021 | 100% |
Facilities with the same owner 45
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Alvarado, TX
- NPI 1588413249
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Amarillo, TX
- NPI 1942446133
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Bandera, TX
- NPI 1487992418
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Beaumont, TX
- NPI 1871873398
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Big Spring, TX
- NPI 1437567096
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Bonham, TX
- NPI 1265033203
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- College Station, TX
- NPI 1063054823
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Bryan, TX
- NPI 1295377067
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- College Station, TX
- NPI 1790546505
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Cooper, TX
- NPI 1447851480
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Decatur, TX
- NPI 1659976975
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
-
- Skilled Nursing Facility
- Del Rio, TX
- NPI 1184995037
Creative Solutions in Healthcare Inc, Honor X Enterprises, LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Houston, TX
- NPI 1598124190
-
- Pulmonary Disease Physician
- Nacogdoches, TX
- NPI 1760658330
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1346246964
Affiliated clinicians 2
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": "1619654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1568045383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 INTERNATIONAL PLZ STE 600",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761094831",
"telephone_number": "817-348-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 WESTWARD DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759641232",
"telephone_number": "936-569-2631",
"fax_number": "936-569-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTWARD I ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-02",
"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": "Westward Trails Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.