Azle Manor Health Care, L.L.L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000119994 Issued in TX

Legal business name

AZLE MANOR HEALTH CARE, L.L.L.P.

Doing business as

Azle Manor Health Care and Rehabilitation

Practice address

721 Dunaway LN
Azle, TX 76020

Phone

(817) 444-2536

NPI assigned

Jun 14, 2005

Last updated

Aug 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maura Panos

Title

Accountant

Phone

(817) 444-2516

Specialties & licenses 1

Addresses

Other names 1

• Azle Manor Health Care and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982609269. Details of each certification follow.

• CCN 676003 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676003

Legal name

AZLE MANOR HEALTH CARE L.L.L.P.

Doing business as

AZLE MANOR HEALTH CARE AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 18, 2004

Last certification

Nov 13, 2024

Beds

142

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Burmont, Inc.

Organization structure

OtherProprietary

Incorporated

Jul 30, 2013 in TX

Enrollment address

721 Dunaway LN.
Azle, TX 76020-2605

Nursing home name

AZLE MANOR HEALTH CARE AND REHABILITATION

Listed as

Azle Manor Health Care, L.L.L.P.CCN 676003 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 18, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

142106.5 residents per day on average

Penalties (3 years)

4Fines totaling $44,548

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kris D Porter, MD

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1558379230

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Cornerstone Gardens L L P

  • Skilled Nursing Facility
  • Temple, TX
  • NPI 1124038690

  Burmont, Inc.

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Kent Niles, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1598714040
  NPD (past)
• Kris D Porter, MD

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1558379230
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Richard Kent Niles, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1598714040

  Nursing home

  Care Compare affiliation
• Kris D Porter, MD

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1558379230

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1982609269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 GANTT ACCESS RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760205638",
            "telephone_number": "817-444-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DUNAWAY LN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "76020",
            "telephone_number": "817-444-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZLE MANOR HEALTH CARE, L.L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "817-444-2516"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000119994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azle Manor Health Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Azle Manor Health Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Azle, TX
• Providers in Azle, 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 Aug 3, 2020; 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.

Verify at the official NPI Registry.