Royal Manor II

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

137613 Issued in TX

Legal business name

ROYAL MANOR II

Practice address

9101 Panther Way
Waco, TX 76712-8614

Phone

(254) 235-9690

Fax

(254) 235-1394

NPI assigned

Mar 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Randall

Title

Administrator

Phone

(254) 666-2164

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1669714168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 FM 2331",
            "city": "GODLEY",
            "state": "TX",
            "postal_code": "760443329",
            "telephone_number": "254-666-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PANTHER WAY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128614",
            "telephone_number": "254-235-9690",
            "fax_number": "254-235-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MANOR II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-666-2164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "137613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Rowland
• Stacy Rowley, RBT-24-336600
• Royal East Senior Care, LLC
• Royal Lane Health Center, Inc
• Royal Manor Health Center Inc.
• Royal West Senior Care, LLC
• Rachel Rube, DO
• Meghan Marie Ruscitto, PA-C
• Elizabeth Antle Rushing, FNP
• Russell E Swann M.D. PA

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.