NPI age
— years
Enumerated 2025-07-18
● Active Type 2 · Organization
Corsicana IV Enterprises, L.l.c.
Corsicana IV Enterprises, L.l.c. is 1 of 1892 assisted living facility organizations in Texas.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blake
Manager
Last NPPES update
2025-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 1892 active assisted living facility providers in Texas.
NPI age
0 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
3002 W 2nd Ave
Corsicana, TX 751102492
Mailing address
4150 International Plz Ste 200
Fort Worth, TX 761094875
Authorized official
Gary Blake
Manager
📞 8173488959
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Lisa Eastman Authier, PT Physical Therapist NPI 1124222302
- Christine Hunt, PTA Physical Therapy Assistant NPI 1851543318
- Kristen Kelly, COTA Occupational Therapy Assistant NPI 1962983270
- Julie Kubin, MS, CCC-SLP Speech-Language Pathologist NPI 1255535373
- Pritvi Kumar, PT Physical Therapist NPI 1710329875
- Monica Munoz Occupational Therapy Assistant NPI 1811478159
- Jimmie Shelton, OTA Occupational Therapy Assistant NPI 1043414857
- Michelle Warren, LOTA Occupational Therapy Assistant NPI 1780888743
Specialties
-
Assisted Living Facility PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Village at Heritage Oaks Assisted Living
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.