GROVETON I ENTERPRISES, LLC (NPI# 1568612299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568612299 |
| Entity Type | Organization |
| Organization Name | GROVETON I ENTERPRISES, LLC |
| Other Organization Name | GROVETON ASSISTED LIVING |
| Practice Address |
1020 W 1st Street Groveton TX 75845 |
| Mailing Address |
Po Box 890 Groveton TX 75845-0890 |
| Practice Telephone | 9366421221 |
| Practice Fax Number | 9366422727 |
| Mailing Telephone | 9366421221 |
| Mailing Fax Number | 9366422727 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE VENDOR | 000502 | 01 |
| Other Name | Type Code |
|---|---|
| Groveton Assisted Living | Doing Business As Name - Organization |
| Street Address |
1020 W 1ST STREET |
| City | GROVETON |
| State | TX |
| Zip Code | 75845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093216343 | Berta Ruth Henderson | Licensed Practical Nurse | 434 Lakeview, Groveton, TX 75845 | 2018-02-22 |
| 1245571355 | Groveton Independent School District | Local Education Agency (LEA) | 207 N Main Street, Groveton, TX 75845 | 2013-03-14 |
| 1174759385 | Lone Star Expeditions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1728 Forest Road 5101, Groveton, TX 75845 | 2009-06-02 |
| 1811178031 | Keith Edward Jones | Physician Assistant | 110 Magee Street, Groveton, TX 75845 | 2007-11-15 |
| 1376602607 | Groveton Texas Hospital Authority | Nursing Facility/Intermediate Care Facility | 1020 W 1st St, Groveton, TX 75845 | 2006-12-06 |
| 1528041951 | Ira Richard Gillum | Physician Assistant | 104 S Devine, Groveton, TX 75845-0104 | 2005-11-21 |
| 1154304467 | James Michael Cochran | Family Medicine | 104 S Devine, Groveton, TX 75845-0104 | 2005-11-22 |
| 1780710681 | Groveton Texas Hospital Authority | Nursing Facility/Intermediate Care Facility | Box 890 Hwy 287 N, Groveton, TX 75845-0890 | 2007-02-26 |
| 1578063418 | Lori Loving Archambeau | Licensed Vocational Nurse | 8442 N State Highway 94, Groveton, TX 75845-2362 | 2018-02-16 |
| 1730673849 | Connie Dee Fuller | Licensed Vocational Nurse | 8442 N State Highway 94, Groveton, TX 75845-2362 | 2018-06-21 |
| Find all providers in zip 75845 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.