OrganizationActive
Jefferson I Enterprises, LLC
NPI 1598910291 · Skilled Nursing Facility · Jefferson, TX
Provider details
- NPI number
- 1598910291
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Blake, Managing Member(817) 348-8841
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1307 Martin Luther King Dr
Jefferson, TX 75657-1009
Phone: (903) 665-9351
Fax: (903) 665-7230
Street-level locationGet directions
Mailing address
1307 Martin Luther King Dr
Jefferson, TX 75657-1009
Other names (DBA / former)
- Doing business as
- Pine Hill Nursing and Rehabilitation
Registry dates
- Enumerated
- 2008-11-21
- Last updated
- 2015-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.