MEMPHIS CONVALESCENT CENTER
NPI 1336385442
Skilled Nursing Facility in Memphis, TX

Active since December 18, 2008CLIA 45D2046195 · Waiver
2/5
Overall Rating
1415 N 18TH ST, MEMPHIS, TX 79245(806) 259-3566(806) 259-5098 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memphis Convalescent Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMPHIS CONVALESCENT CENTER (NPI 1336385442) is a healthcare organization registered as a skilled nursing facility in Memphis, Texas and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Gary Blake, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1336385442
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEMPHIS I ENTERPRISES, LLC
Location Address1415 N 18TH STMemphis, TX 79245-2009
Mailing Address1415 N 18th StMemphis, TX 79245-2009 · (806) 259-3566 · Fax (806) 259-5098
Fax(806) 259-5098
Organization SubpartNo
Authorized OfficialGary BlakeManaging Member · (817) 348-8959
Enumeration DateDecember 18, 2008
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1336385442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1415 N 18TH ST, Memphis, TX 79245

Other Names 1

Doing Business AsMemphis Convalescent Center

Other Identifiers 2

Medicaid001016680TX
Other005131Vendor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2046195

Memphis Convalescent Center · Memphis, TX
Active · expires Aug 28, 2026
CLIA Number45D2046195
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorNita D. Massey
Laboratory Phone(806) 259-3566
Laboratory LocationMemphis Convalescent Center1415 N 18th Street, Memphis, TX 79245
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Memphis Convalescent Center (CMS certification number 675970), from CMS Care Compare.

Memphis Convalescent Center

Nursing home · Memphis, TX
2/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number675970
Certified Beds72 beds21 residents per day on average
Medicare & Medicaid Participant SinceJune 6, 2003
Resident & Family CouncilResident council
Automatic sprinkler system Ownership changed in last 12 months

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
220.5
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.76 · LPN 1.33 · RN 0.6
3.7 hrs per resident per day
Weekend Nurse Staffing
3.2 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34.8%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
2
Substantiated Complaints
4
Infection-Control Citations
0
Fines
2 totaling $31,521.75
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1415 N 18TH ST
MEMPHIS, TX 79245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memphis I Enterprises, LLC's NPI number?

The NPI number for Memphis I Enterprises, LLC is 1336385442. It was assigned to this organization in the NPPES registry on December 18, 2008. The provider is doing business as Memphis Convalescent Center.

Where is Memphis I Enterprises, LLC located?

Memphis I Enterprises, LLC is located at 1415 N 18th St, Memphis, TX 79245. The listed phone number is (806) 259-3566.

What is Memphis I Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Memphis I Enterprises, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2046195) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Memphis I Enterprises, LLC a Medicare-certified nursing home?

Yes. Memphis Convalescent Center is a Medicare-certified nursing home with 72 certified beds.

What quality rating does Memphis I Enterprises, LLC have?

CMS rates Memphis Convalescent Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Memphis I Enterprises, LLC was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.