TED M. NICKLAUS


Address: 101 Wallace Blvd, Amarillo, TX 79106
Phone: 8063557453

TED M. NICKLAUS (NPI# 1699964098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699964098
Entity Type Organization
Organization Name TED M. NICKLAUS
Practice Address 101 Wallace Blvd
Amarillo
TX 79106
Mailing Address Po Box 7066
Amarillo
TX 79114-7066
Practice Telephone 8063557453
Mailing Telephone 8064635111
Mailing Fax Number 8064635223
Enumeration Date 2007-10-22
Last Update Date 2007-11-03
Authorized Official Name MS. CONSTANCE SUE KLAGGE (MEDICAL RECORDS ADMIN)
Authorized Official Telephone 8064635111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility D2283 TX Nursing & Custodial Care Facilities

Office Location

Street Address 101 WALLACE BLVD
City AMARILLO
State TX
Zip Code 79106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
Find all providers in zip 79106

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356831721 Amarillo Vii Enterprises, LLC Skilled Nursing Facility 1625 Point West Parkway, Amarillo, TX 79124 2018-05-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1518357680 Hemphill County Hospital District Skilled Nursing Facility 5500 Sw 9th Ave, Amarillo, TX 79106-4100 2015-01-28
1700228632 Amarillo II Enterprises, LLC Skilled Nursing Facility 6641 W Amarillo Blvd, Amarillo, TX 79106-1755 2013-07-19
1942446133 Amarillo Vi Enterprises, LLC Skilled Nursing Facility 2611 Sw 46th Ave, Amarillo, TX 79110-1735 2008-12-18
1467678615 State of Texas Veterans Land Board Skilled Nursing Facility 1020 Tascosa Road, Amarillo, TX 79124-1504 2007-04-17
1063509248 Stratford Hospital District Skilled Nursing Facility 6650 S Soncy Rd, Amarillo, TX 79119-6655 2006-10-07
1609806579 Lee Bivins Foundation Skilled Nursing Facility 6600 Killgore Dr, Amarillo, TX 79106-3700 2006-07-04
1467439299 Moore Health Services Corporation Skilled Nursing Facility 2611 W 46th Ave, Amarillo, TX 79110-1735 2005-12-22
1497745723 Heritage Convalescent Center, Ltd Skilled Nursing Facility 1009 Clyde St, Amarillo, TX 79106-4225 2005-10-27
Find all providers in AMARILLO

Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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