El Paso IV Enterprises, LLC

Organization Active NPI Skilled Nursing Facility · El Paso, TX

NPI 1821586629 · NPPES record last updated May 3, 2022

Key facts

NPI
1821586629
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
EL PASO IV ENTERPRISES, LLC
Practice address
950 Camino del Rey Drive
El Paso, TX 79927-4288
Phone
(915) 859-3010
Fax
(915) 859-3057
NPI assigned
Apr 26, 2018
Organization subpart
No

Authorized official

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

Facilities with the same owner 45

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

View all 45

Practitioners 5

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
St. Giles Nursing and Rehabilitation Center CCN 676375
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
Jan 28, 2015
Medicare certification status
Active (Provider of Services file)
Certified beds
124 · 89.6 residents per day on average
Chain
Creative Solutions in Healthcare (149 facilities)
Penalties (3 years)
1 · fines totaling $13,065

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Skilled nursing facility certification: CCN 676375

Legal name
EL PASO IV ENTERPRISES, LLC
Doing business as
ST GILES NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 28, 2015
Last certification
Feb 13, 2025
Beds
124
Ownership / control type
Corporation
Multi-facility organization
Creative Solutions In Healthcare
Organization structure
LLC · Proprietary
Enrollment address
950 Camino del Ray
Socorro, TX 79927-4288
Nursing home name
ST. GILES NURSING AND REHABILITATION CENTER
Affiliated entity
CREATIVE SOLUTIONS IN HEALTHCARE

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
Member
Jun 1, 2018 50%
Operational/Managerial Control
Member
Jun 1, 2018 50%
Gary R Blake
Individual
5% Or Greater Indirect Ownership Interest
Managing Member
Jun 1, 2018 50%
Operational/Managerial Control
Managing Member
Jun 1, 2018 50%
Linda F Huggins
Individual
W-2 Managing Employee
VP of Accounts Receivable
Jun 1, 2018
Honor X Enterprises, LLC
Organization · Fort Worth, TX
LLC, For-profit
5% Or Greater Direct Ownership Interest Jun 1, 2018 100%
Creative Solutions in Healthcare Inc
Organization · Fort Worth, TX
Corporation, Management services company, For-profit
Operational/Managerial Control Jun 1, 2018 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180618002801 TX Part a Provider - Skilled Nursing Facility 8022363944 Practice locations: Socorro, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

950 Camino del Rey Drive
El Paso, TX 79927-4288

Mailing address

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

Other names

  • St Giles Nursing and Rehabilitation Center Doing business as

Other providers in El Paso, TX

All providers in El Paso, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.