NPIMap

Organization Active NPI

Lancaster I Enterprises, L.L.C.

  • Skilled Nursing Facility
  • Lancaster, TX
National Provider Identifier
1780433441
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LANCASTER I ENTERPRISES, L.L.C.
Practice address
1515 N Elm St
Lancaster, TX 75134-3241
Phone
(972) 227-6066
Fax
(972) 227-0970
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

1515 N Elm St
Lancaster, TX 75134-3241

Mailing address

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

Other names 1

  • Lancaster Nursing & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816000565 TX Part A Provider - Skilled Nursing Facility 0042758435 Practice locations: Lancaster, TX

Skilled nursing facility certification: CCN 675810

Legal name
LANCASTER I ENTERPRISES, LLC
Doing business as
LANCASTER NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 12, 1999
Last certification
Oct 10, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Creative Solutions in Healthcare
Most recent change of ownership
Jul 1, 2024
Organization structure
LLCProprietary
Enrollment address
1515 N Elm St
Lancaster, TX 75134-3241
Nursing home name
LANCASTER NURSING & REHABILITATION
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lancaster Nursing & RehabilitationCCN 675810
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 12, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12053.6 residents per day on average
Chain
Creative Solutions in Healthcare149 facilities in the chain
Penalties (3 years)
2Fines totaling $56,554

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lancaster I Enterprises, LLC Organization, Fort Worth, TX LLC Operational/Managerial Control Jul 1, 2024
Malisa a Blake Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Indirect Ownership Interest Jul 1, 2024 50%
Gary R Blake Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Indirect Ownership Interest Jul 1, 2024 50%
Linda F Huggins Individual Corporate DirectorVice President of Accounts Recei Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Auston Clanton Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Phillip E Silva Individual Adp of the SNF Apr 9, 2025
Christopher Eamiguel Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Honor X Enterprises, LLC Organization, Fort Worth, TX LLC, Holding company Direct Ownership Interest Jul 1, 2024 100%
Creative Solutions in Healthcare Inc Organization, Fort Worth, TX Corporation, Management services company Operational/Managerial Control Jul 1, 2024 100%
Adp of the SNF Jul 1, 2024
Lillian Stapleton Individual Adp of the SNF Apr 9, 2025
Zachary Willig Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1780433441",
    "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": "1515 N ELM ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751343241",
            "telephone_number": "972-227-6066",
            "fax_number": "972-227-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER I ENTERPRISES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "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": "Lancaster Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lancaster Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.