GEORGIA MANOR NURSING HOME
NPI 1790839579
Skilled Nursing Facility in Amarillo, TX

Active since January 22, 2007CLIA 45D2046764 · Waiver
2611 W 46TH AVE, AMARILLO, TX 79110(806) 355-6517 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Georgia Manor Nursing Home NPPES

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

GEORGIA MANOR NURSING HOME (NPI 1790839579) is a healthcare organization registered as a skilled nursing facility in Amarillo, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Gerry Fowler, President, as its authorized official.

NPPES Registry Identity

NPI1790839579
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameATHENA LEASING LLC
Location Address2611 W 46TH AVEAmarillo, TX 79110-1735
Mailing Address1001 Cross Timbers Rd, Suite 2275Flower Mound, TX 75028-1371 · (972) 355-4957
Organization SubpartNo
Authorized OfficialGerry FowlerPresident · (972) 355-4957
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1790839579 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 · 4604
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.

2611 W 46TH AVE, Amarillo, TX 79110

Other Names 1

Doing Business AsGeorgia Manor Nursing Home

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 45D2046764

Georgia Manor Nursing And Rehabilitation · Amarillo, TX
Active · expires Sep 10, 2026
CLIA Number45D2046764
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorTonya Houck
Laboratory Phone(806) 355-6517
Laboratory LocationGeorgia Manor Nursing And Rehabilitation2611 W 46th Ave, Amarillo, TX 79110
CLIA data matches this NPI record on: Address Phone
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
2611 W 46TH AVE
AMARILLO, TX 79110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790839579, enumerated as an "organization" on January 22, 2007.

The provider is located at 2611 W 46TH AVE AMARILLO, TX 79110 and the phone number is (806) 355-6517.

Skilled Nursing Facility with taxonomy code 314000000X.