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DBA GOLDEN VILLA
NPI 1811035124
Skilled Nursing Facility - Nursing Care, Pediatric in Atlanta, TX

Active since February 01, 2007CLIA 45D0677210 · Waiver
1104 S WILLIAM ST, ATLANTA, TX 75551(903) 796-0290(903) 796-3976 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dba Golden Villa NPPES

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

DBA GOLDEN VILLA (NPI 1811035124) is a healthcare organization registered as a nursing care, pediatric in Atlanta, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Leonard M. Jester, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811035124
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameATLANTA NURSING HOMES INC
Location Address1104 S WILLIAM STAtlanta, TX 75551-3246
Mailing Address1104 S William StAtlanta, TX 75551-3246 · (903) 796-0290 · Fax (903) 796-3976
Phone(903) 796-0290
Fax(903) 796-3976
Organization SubpartNo
Authorized OfficialLeonard M. JesterAdministrator · (903) 796-0290
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 15, 2008
✔ NPI 1811035124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in TX · 117876
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
1104 S WILLIAM ST, Atlanta, TX 75551
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Other Names 1

Doing Business AsDba Golden Villa

Other Identifiers 2

Medicare OSCAR/certification675490TX
Medicaid000437602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 45D0677210

Golden Villa · Atlanta, TX
Active · expires Aug 31, 2028
CLIA Number45D0677210
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKrystal Fahrney
Laboratory Phone(903) 796-0290
Laboratory LocationGolden Villa1104 South Williams, Atlanta, TX 75551
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. APRIL DUNN POSTON PTA
Physical Therapy Assistant
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-0290
LYDIA DOWNS
Occupational Therapy Assistant
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-0290
GOLDEN VILLA HEALTHCARE LLC
Skilled Nursing Facility
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-0290
MR. MATTHEW ALLEN COATS LPTA
Physical Therapy Assistant
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-0290
ROSE FELICIA MATTHEWS
Occupational Therapy Assistant
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-0290
KAYLA MARIE STANLEY COTA
Occupational Therapy Assistant
1104 S WILLIAM ST
ATLANTA, TX 75551
Cass County (870) 949-5334

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 Atlanta Nursing Homes Inc's NPI number?

The NPI number for Atlanta Nursing Homes Inc is 1811035124. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Dba Golden Villa.

Where is Atlanta Nursing Homes Inc located?

Atlanta Nursing Homes Inc is located at 1104 S William St, Atlanta, TX 75551. The listed phone number is (903) 796-0290.

What is Atlanta Nursing Homes Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Does Atlanta Nursing Homes Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0677210) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlanta Nursing Homes Inc accept?

Health plans from UnitedHealthcare list Atlanta Nursing Homes Inc 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 Atlanta Nursing Homes Inc was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.