Organization Active NPI

Amelia Manor, Inc

  • Skilled Nursing Facility
  • Lafayette, LA
National Provider Identifier
1932197050
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
331 Issued in LA
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

Updated by the provider on Jan 15, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30512OtherLABLUECROSS BLUESHIELD
1514055MedicaidLA

Other names 1

  • Amelia Manor Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HomeCCN 195469
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15182.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0698610Amelia Manor Nursing Home903 Center St, Lafayette, LA 70501Certificate of waiverAug 31, 2026
19D0881888Amelia Manor Nursing Home903 Center Street, Lafayette, LA 70501Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Gregory Sarver Individual Operational/Managerial ControlAdministrator Jun 1, 1998 100%
Danny R Sarver Individual 5% Or Greater Direct Ownership Interest Nov 1, 2013 6.25%
Willie Belle Sarver Individual 5% Or Greater Direct Ownership Interest Nov 1, 2013 25%
Don G Sarver Estattes Organization, Crowley, LA LLC 5% Or Greater Direct Ownership Interest Feb 10, 2022 6.25%
Linda Foreman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2013 6.25%
Alberta H Lyons Individual 5% Or Greater Direct Ownership Interest Aug 14, 2015 25%
Amelia Manor, Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Feb 10, 2022 100%
Gwen Petry Individual 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.

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

Verify at the official NPI Registry.