# KERENS I ENTERPRISES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kerens Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316415532
- **Authorized official:** GARY ROBERT BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 809 NE 4TH ST, KERENS, TX 75144-2715
- **Practice address phone:** (903) 396-3211
- **Practice address fax:** (903) 396-2419
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2018
- **Last updated:** 11/06/2018