PECAN MANOR NURSING AND REHABILITATION LP
NPI 1366433518
Skilled Nursing Facility in Kennedale, TX

Active since November 04, 2005CLIA 45D0916012 · Waiver
413 MANSFIELD CARDINAL RD, KENNEDALE, TX 76060(817) 561-4495(817) 561-6033 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pecan Manor Nursing And Rehabilitation Lp NPPES

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

PECAN MANOR NURSING AND REHABILITATION LP (NPI 1366433518) is a healthcare organization registered as a skilled nursing facility in Kennedale, Texas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Michael A Rich, President, as its authorized official.

NPPES Registry Identity

NPI1366433518
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePECAN MANOR NURSING AND REHABILITATION LP
Location Address413 MANSFIELD CARDINAL RDKennedale, TX 76060-2805
Mailing Address401 N Elm StDenton, TX 76201-4137 · (940) 387-4388 · Fax (940) 380-2410
Fax(817) 561-6033
Organization SubpartNo
Authorized OfficialMichael A RichPresident · (940) 387-4388
Enumeration DateNovember 4, 2005
Last NPPES UpdateMarch 21, 2012
NPI 1366433518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 115249
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.
413 MANSFIELD CARDINAL RD, Kennedale, TX 76060

Other Identifiers 3

Other153326702TX · Tmhp (cross-over)
Medicaid001004226TX
Medicare OSCAR/certification675270TX

Accepted Insurance

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 45D0916012

Pecan Manor Nursing & Rehabilitaion · Kennedale, TX
Active · expires Jan 8, 2027
CLIA Number45D0916012
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorChristina Ford
Laboratory Phone(817) 561-4495
Laboratory LocationPecan Manor Nursing & Rehabilitaion413 E Mansfield Cardinal Road, Kennedale, TX 76060
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
413 MANSFIELD CARDINAL RD
KENNEDALE, TX 76060
Skilled Nursing Facility
413 MANSFIELD CARDINAL RD
KENNEDALE, TX 76060

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 Pecan Manor Nursing And Rehabilitation LP's NPI number?

The NPI number for Pecan Manor Nursing And Rehabilitation LP is 1366433518. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is Pecan Manor Nursing And Rehabilitation LP located?

Pecan Manor Nursing And Rehabilitation LP is located at 413 Mansfield Cardinal Rd, Kennedale, TX 76060. The listed phone number is (817) 561-4495.

What is Pecan Manor Nursing And Rehabilitation LP's specialty?

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

Does Pecan Manor Nursing And Rehabilitation LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0916012) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pecan Manor Nursing And Rehabilitation LP accept?

Health plans from CHRISTUS Health Plan list Pecan Manor Nursing And Rehabilitation LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pecan Manor Nursing And Rehabilitation LP was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.