College Station II Enterprises, LLC
NPI 1295377067ActiveOrganization· Skilled Nursing Facility· Bryan, TX
Skilled Nursing Facility in Bryan, Texas, registered in NPPES in October 2019. The authorized official on file is Gary Blake, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1295377067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2019 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TX) |
|---|
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