Active NPI
Amelia Manor, Inc
- Skilled Nursing Facility
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 331
- Legal business name
- AMELIA MANOR, INC
- Practice address
- 903 Center St
Lafayette, LA 70501-3901 - Phone
- (337) 234-7331
- Fax
- (337) 232-5057
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory M Sarver
- Title
- Administrator
- Phone
- (337) 234-7331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 331 | LA | |
| Skilled Nursing Facility | 314000000X | 331 | LA | Primary |
Addresses
Primary practice location
903 Center St
Lafayette, LA 70501-3901
Mailing address
903 Center St
Lafayette, LA 70501-3901
Phone (337) 234-7331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30512 | Other | LA | BLUECROSS BLUESHIELD |
| 1514055 | Medicaid | LA |
Other names 1
- Amelia Manor Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091228000501 | LA | Part A Provider - Skilled Nursing Facility | 6709926686 | Practice locations: Lafayette, LA |
Skilled nursing facility certification: CCN 195469
- Legal name
- AMELIA MANOR, INC
- Doing business as
- AMELIA MANOR NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1998
- Last certification
- Mar 19, 2025
- Beds
- 151
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 5, 1974 in LA
- Enrollment address
- 903 Center Street
Amelia Manor Nursing Home
Lafayette, LA 70501-3901 - Nursing home name
- AMELIA MANOR NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Amelia Manor Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1998
- Medicare certification status
- Active
- Certified beds
- 151
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0698610 | Amelia Manor Nursing Home | Certificate of waiver | Aug 31, 2026 |
| 19D0881888 | Amelia Manor Nursing Home | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory Sarver | Operational/Managerial Control | Jun 1, 1998 | 100% |
| Danny R Sarver | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 6.25% |
| Willie Belle Sarver | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 25% |
| Don G Sarver Estattes | 5% Or Greater Direct Ownership Interest | Feb 10, 2022 | 6.25% |
| Linda Foreman | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 6.25% |
| Alberta H Lyons | 5% Or Greater Direct Ownership Interest | Aug 14, 2015 | 25% |
| Amelia Manor, Inc | 5% Or Greater Direct Ownership Interest | Feb 10, 2022 | 100% |
| Gwen Petry | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 6.25% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1295728749
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642204800000",
"number": "1932197050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 CENTER ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705013901",
"telephone_number": "337-234-7331",
"fax_number": "337-235-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 CENTER ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705013901",
"telephone_number": "337-234-7331",
"fax_number": "337-232-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMELIA MANOR, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2022-01-15",
"certification_date": "2022-01-15",
"status": "A",
"authorized_official_last_name": "SARVER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "337-234-7331",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "LA",
"license": "331",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "30512",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1514055",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amelia Manor Nursing Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amelia Manor Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.