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Kilgore I Enterprises, LLC

Skilled Nursing Facility in Kilgore, TX · enumerated 2010 · authorized official Gary Blake, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992021661

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Registry record

Entity type Organization (Type 2)
Legal business name Kilgore I Enterprises, LLC
Other name <Unavail>
Practice address 2700 S Henderson Blvd, Kilgore, TX, 75662
Phone (903) 984-3511
Fax (903) 983-1031
Enumeration date Apr 20, 2010
Last updated in NPPES Feb 25, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Gary Blake
Title Managing Member
Phone (817) 348-8841

Other identifiers

Identifier Type State Issuer
001018457 Medicaid TX -
004515 Other TX FACILITY ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kilgore I Enterprises, LLC?
Kilgore I Enterprises, LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-25.