AMARILLO VI ENTERPRISES, LLC (NPI# 1942446133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942446133 |
| Entity Type | Organization |
| Organization Name | AMARILLO VI ENTERPRISES, LLC |
| Other Organization Name | GEORGIA MANOR NURSING HOME |
| Practice Address |
2611 Sw 46th Ave Amarillo TX 79110-1735 |
| Practice Telephone | 8063556517 |
| Practice Fax Number | 8063554190 |
| Mailing Telephone | 8063556517 |
| Mailing Fax Number | 8063554190 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VENDOR | 004604 | 01 | |
| TX | 001014027 | 05 |
| Other Name | Type Code |
|---|---|
| Georgia Manor Nursing Home | Doing Business As Name - Organization |
| Street Address |
2611 SW 46TH AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871073726 | Letitia D Moreland | Occupational Therapist | 2611 Sw 46th Ave, Amarillo, TX 79110-1735 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1518357680 | Hemphill County Hospital District | Skilled Nursing Facility | 5500 Sw 9th Ave, Amarillo, TX 79106-4100 | 2015-01-28 |
| 1700228632 | Amarillo II Enterprises, LLC | Skilled Nursing Facility | 6641 W Amarillo Blvd, Amarillo, TX 79106-1755 | 2013-07-19 |
| 1699964098 | Ted M. Nicklaus | Skilled Nursing Facility | 101 Wallace Blvd, Amarillo, TX 79106 | 2007-10-22 |
| 1467678615 | State of Texas Veterans Land Board | Skilled Nursing Facility | 1020 Tascosa Road, Amarillo, TX 79124-1504 | 2007-04-17 |
| 1063509248 | Stratford Hospital District | Skilled Nursing Facility | 6650 S Soncy Rd, Amarillo, TX 79119-6655 | 2006-10-07 |
| 1609806579 | Lee Bivins Foundation | Skilled Nursing Facility | 6600 Killgore Dr, Amarillo, TX 79106-3700 | 2006-07-04 |
| 1467439299 | Moore Health Services Corporation | Skilled Nursing Facility | 2611 W 46th Ave, Amarillo, TX 79110-1735 | 2005-12-22 |
| 1497745723 | Heritage Convalescent Center, Ltd | Skilled Nursing Facility | 1009 Clyde St, Amarillo, TX 79106-4225 | 2005-10-27 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.