Palestine I Enterprises, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PALESTINE I ENTERPRISES, LLC

Doing business as

Greenbrier Nursing & Rehabilitation Center of Palestine

Practice address

2404 State Highway 155
Palestine, TX 75803-8524

Phone

(903) 729-6024

Fax

(903) 729-6942

NPI assigned

Jan 31, 2007

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 identifiers 2

Other names 1

• Greenbrier Nursing & Rehabilitation Center of Palestine Doing business as

Practitioners 1

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.

• Khoren Hekimian, DO

  • Family Medicine Physician
  • Troup, TX
  • NPI 1588695423
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1972640506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038524",
            "telephone_number": "903-729-6024",
            "fax_number": "903-729-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038524",
            "telephone_number": "903-729-6024",
            "fax_number": "903-729-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014994",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrier Nursing & Rehabilitation Center of Palestine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenbrier Nursing & Rehabilitation Center of Palestine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Page
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• Palestine Healthcare Center
• Palestine HMS Sleep Lab
• Palestine Isd
• Palestine Laser & Surgery Center PLLC
• Palestine Oral Facial Surgery Group PLLC (Southern Surgical Arts)
• Palestine Pharmacy LLC (Palestine Pharmacy LTC)
• Palestine Pharmacy LLC (Hometown Pharmacy)

• Skilled Nursing Facility in Palestine, TX
• Providers in Palestine, 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.