NPIMap

Organization Active NPI

Fort Worth III Enterprises, LLC

Doing business as Arlington Heights Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Fort Worth, TX
National Provider Identifier
1679296735
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FORT WORTH III ENTERPRISES, LLC
Doing business as
Arlington Heights Health and Rehabilitation Center
Practice address
4825 Wellesley Ave
Fort Worth, TX 76107-6148
Phone
(817) 732-6608
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

4825 Wellesley Ave
Fort Worth, TX 76107-6148

Mailing address

4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Phone (817) 348-8959

Other names 1

  • Arlington Heights Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118002791 TX Part A Provider - Skilled Nursing Facility 9133590755 Practice locations: Fort Worth, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679296735. Details of each certification follow.

Skilled nursing facility certification: CCN 455819

Legal name
FORT WORTH III ENTERPRISES, LLC
Doing business as
ARLINGTON HEIGHTS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 1, 1989
Last certification
Sep 26, 2024
Beds
170
Ownership / control type
Individual
Multi-facility organization
Creative Solutions in Healthcare
Organization structure
LLCProprietary
Incorporated
Aug 8, 2022 in TX
Enrollment address
4825 Wellesley Avenue
Fort Worth, TX 76107-6148
Nursing home name
ARLINGTON HEIGHTS HEALTH AND REHABILITATION CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arlington Heights Health and Rehabilitation CenterCCN 455819 · All quality measures
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
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
170101.8 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)
3Fines totaling $31,539

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 Interest Nov 1, 2022 50%
Operational/Managerial ControlVice President Nov 1, 2022 50%
Gary R Blake Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2022 50%
Operational/Managerial ControlPresident Nov 1, 2022 50%
Linda F Huggins Individual Corporate DirectorVice President of Accounts Recei Nov 1, 2022
W-2 Managing EmployeeVice President of Accounts Recei Nov 1, 2022
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC 5% Or Greater Direct Ownership Interest Aug 8, 2022 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company, For-profit Operational/Managerial Control Nov 1, 2022

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.

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1679296735",
    "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",
            "telephone_number": "817-348-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 WELLESLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076148",
            "telephone_number": "817-732-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH III ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "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": "Arlington Heights Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.