TED M. NICKLAUS
NPI 1699964098
Skilled Nursing Facility in Amarillo, TX

Active since October 22, 2007
101 WALLACE BLVD, AMARILLO, TX 79106(806) 355-7453 Get Directions Write a Review

NPPES record last updated: November 3, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ted M. Nicklaus NPPES

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

TED M. NICKLAUS (NPI 1699964098) is a healthcare organization registered as a skilled nursing facility in Amarillo, Texas and active in the NPI registry since October 2007. The organization lists Constance Sue Klagge, Medical Records Admin, as its authorized official.

NPPES Registry Identity

NPI1699964098
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTED M. NICKLAUS
Location Address101 WALLACE BLVDAmarillo, TX 79106
Mailing AddressPo Box 7066Amarillo, TX 79114-7066 · (806) 463-5111 · Fax (806) 463-5223
Organization SubpartNo
Authorized OfficialConstance Sue KlaggeMedical Records Admin · (806) 463-5111
Enumeration DateOctober 22, 2007
Last NPPES UpdateNovember 3, 2007
NPI 1699964098 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 · D2283
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.

101 WALLACE BLVD, Amarillo, TX 79106

Other Identifiers 1

Medicare PIN00123NTX

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699964098, enumerated as an "organization" on October 22, 2007.

The provider is located at 101 WALLACE BLVD AMARILLO, TX 79106 and the phone number is (806) 355-7453.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.