Active NPI
Gainesville I Enterprises, LLC
Doing business as Gainesville Convalescent Center
- Skilled Nursing Facility
- Gainesville, TX
National Provider Identifier
1649317306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GAINESVILLE I ENTERPRISES, LLC
- Doing business as
- Gainesville Convalescent Center
- Practice address
- 1900 Oneal St
Gainesville, TX 76240-3604 - Phone
- (940) 665-2826
- Fax
- (940) 668-1220
- NPI assigned
- Jan 31, 2007
- 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
1900 Oneal St
Gainesville, TX 76240-3604
Mailing address
1900 Oneal St
Gainesville, TX 76240-3604
Phone (940) 665-2826
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014027 | Medicaid | TX | |
| 004562 | Medicaid | TX |
Other names 1
- Gainesville Convalescent Center
National Provider Directory
National Provider DirectoryLocations
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1649317306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ONEAL ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762403604",
"telephone_number": "940-665-2826",
"fax_number": "940-668-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ONEAL ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762403604",
"telephone_number": "940-665-2826",
"fax_number": "940-668-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINESVILLE I ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001014027",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004562",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gainesville Convalescent Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gainesville Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gainesville, TX
- Gainesville Hospital District (NTMC Home Health)
- Gainesville Hospital District (NTMC Pediatrics)
- Gainesville Hospital District (NTMC Pediatrics)
- Gainesville Hospital District (NTMC Orthopaedic Clinic)
- Gainesville Hospital District (North Texas Medical Center)
- Gainesville Independent School District
- Gainesville Plaza Pharmacy Inc
- Gainesville Smiles (Smart Mouth Family Dental)
- Gainesville Speech and Language Services PLLC
- Gainesville Star Dialysis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.