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

Key facts

NPI: 1982609269
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 000119994 (TX)
Legal business name: AZLE MANOR HEALTH CARE, L.L.L.P.
Practice address: 721 Dunaway LN
Azle, TX 76020
Phone: (817) 444-2536
NPI assigned: Jun 14, 2005
Organization subpart: No

Authorized official

Name: Maura Panos
Title: Accountant
Phone: (817) 444-2516

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

CMS ownership ADP OF THE SNF · CONTRACTED MANAGING EMPLOYEE

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

CMS ownership BURMONT, INC.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Care Compare affiliation Nursing home
Kris D Porter, MD Internal Medicine Physician · Euless, TX · NPI 1558379230

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Azle Manor Health Care, L.L.L.P. CCN 676003
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: Active (Provider of Services file)
Certified beds: 142 · 106.5 residents per day on average
Penalties (3 years): 4 · fines totaling $44,548

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D0671510	Azle Manor Health Care, LLLP 721 Dunaway Lane, Azle, TX 76020	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

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: Other · Proprietary
Incorporated: Jul 30, 2013 in TX
Enrollment address: 721 Dunaway LN.
Azle, TX 76020-2605
Nursing home name: AZLE MANOR HEALTH CARE AND REHABILITATION

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.

Name	Role	Since	Share
Jason Arnold Individual	Corporate Officer Coo	Jul 30, 2013	100%
Jason Arnold Individual	Adp of the SNF	Jan 22, 2025
Raymond Montgomery Individual	Corporate Officer President	Jul 30, 2013	100%
Raymond Montgomery Individual	Adp of the SNF	Jan 22, 2025
Mitchell Todd Montgomery Individual	Corporate Officer Coo	Jul 30, 2013	100%
Mitchell Todd Montgomery Individual	Adp of the SNF	Jan 22, 2025
Chris Porter Individual	W-2 Managing Employee Ad;	Dec 6, 2023	100%
Chris Porter Individual	Adp of the SNF	Jan 22, 2025
Oak Management Organization · Azle, TX Corporation, For-profit	General Partnership Interest	Jul 30, 2013	1%
Kris D Porter Individual	Contracted Managing Employee MD;	Jun 21, 2022
Kris D Porter Individual	Adp of the SNF	Jan 22, 2025
Burmont, Inc. Organization · Azle, TX Corporation, For-profit, Owned by another organization or individual	5% Or Greater Direct Ownership Interest	Jul 30, 2013	99%
	Limited Partnership Interest	Jul 30, 2013	99%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140421000090	TX	Part a Provider - Skilled Nursing Facility	5597997825	Practice locations: Azle, TX

National Provider Directory

Locations

7150 Gantt Access Rd
Azle, TX 76020

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	000119994	TX	Yes

Addresses

Primary practice location

721 Dunaway LN
Azle, TX 76020

Mailing address

7150 Gantt Access Rd
Azle, TX 76020-5638
Phone (817) 444-2516

Other identifiers

Identifier	Type	State	Issuer
000498401	Medicaid	TX
001025390	Medicaid	TX

Other names

Azle Manor Health Care and Rehabilitation Doing business as

Other providers in Azle, TX

All providers in Azle, TX · Skilled Nursing Facility in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.