Wolfforth I Enterprises, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOLFFORTH I ENTERPRISES, L.L.C.

Practice address

109 E 5TH St
Wolfforth, TX 79382-2195

Phone

(806) 866-4666

Fax

(806) 866-4111

NPI assigned

Sep 12, 2007

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) 832-3654

Specialties & licenses 1

Addresses

Other names 1

• Villa Residential Care of Wolfforth I, II, III Doing business as

Practitioners 1

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

• Marion Ophelia Williams, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1205086253
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1952596009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 5TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "79382",
            "telephone_number": "806-866-4666",
            "fax_number": "806-866-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 5TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793822195",
            "telephone_number": "806-866-4666",
            "fax_number": "806-866-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFFORTH I ENTERPRISES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "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": "817-832-3654"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Residential Care of Wolfforth I, II, III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydni Sprecher
• Stuart Swafford, MS, LAT, ATC
• Kimberly Davis Thompson, PH.D.
• Isabel Torres
• Andrew Langston West, MD

• Assisted Living Facility in Wolfforth, TX
• Providers in Wolfforth, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.