Hearne I Enterprises, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEARNE I ENTERPRISES, LLC

Doing business as

Crossroads Nursing & Rehabilitation

Practice address

611 Rose Marie Blvd
Hearne, TX 77859-3240

Phone

(817) 348-8959

NPI assigned

Sep 29, 2014

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Crossroads Nursing & Rehabilitation Doing business as

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.

• Kelly Holley Grillo, MD

  • Internal Medicine Physician
  • College Station, TX
  • NPI 1306851274
  NPD (past)
• Venkat Ramana Thadareddy, M.D

  • Internal Medicine Physician
  • Hutto, TX
  • NPI 1558388579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1871996363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROSE MARIE BLVD",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778593240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROSE MARIE BLVD",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778593240",
            "telephone_number": "817-348-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARNE I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquatta Garland, LVN
• Dianne Gradington, LCDC
• Cassandra Hammond
• Healthwise Hospice (River Brazos LLC)
• Hearne Family Dentistry (Marlin Family Dentistry)
• Hearne Isd
• Hearne Pharmacy LLC
• Jessica Marian Jentsch, PTA
• Laa Drug LLC (Wilson Drug)
• Victoria Lamb

• Skilled Nursing Facility in Hearne, TX
• Providers in Hearne, TX by specialty
• Skilled Nursing Facility in Texas

• 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.

Verify at the official NPI Registry.