ROYAL MANOR II
NPI 1669714168
Skilled Nursing Facility in Waco, TX

Active since March 22, 2013CLIA 45D2062259 · Waiver
9101 PANTHER WAY, WACO, TX 76712(254) 235-9690(254) 235-1394 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Royal Manor Ii NPPES

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

ROYAL MANOR II (NPI 1669714168) is a healthcare organization registered as a skilled nursing facility in Waco, Texas and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Vicki Randall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669714168
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameROYAL MANOR II
Location Address9101 PANTHER WAYWaco, TX 76712-8614
Mailing Address12656 Fm 2331Godley, TX 76044-3329 · (254) 666-2164
Fax(254) 235-1394
Organization SubpartNo
Authorized OfficialVicki RandallAdministrator · (254) 666-2164
Enumeration DateMarch 22, 2013
Last NPPES UpdateFebruary 10, 2014
NPI 1669714168 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 · 137613
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.
9101 PANTHER WAY, Waco, TX 76712

Other Identifiers 2

Medicaid001021191TX
Medicare OSCAR/certification676343TX

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 45D2062259

Royal Manor Ii,llc · Waco, TX
Active · expires Jul 14, 2027
CLIA Number45D2062259
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorEvelyn Hollingsworth
Laboratory Phone(254) 537-9200
Laboratory LocationRoyal Manor Ii,llc9101 Panther Way, Waco, TX 76712
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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
9101 PANTHER WAY
WACO, TX 76712

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 Royal Manor II's NPI number?

The NPI number for Royal Manor II is 1669714168. It was assigned to this organization in the NPPES registry on March 22, 2013.

Where is Royal Manor II located?

Royal Manor II is located at 9101 Panther Way, Waco, TX 76712. The listed phone number is (254) 235-9690.

What is Royal Manor II's specialty?

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

Does Royal Manor II hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2062259) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Royal Manor II was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.