Active NPI
Paramount Community Living and Rehab, Inc.
- Skilled Nursing Facility
- Newton, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PARAMOUNT COMMUNITY LIVING AND REHAB, INC.
- Practice address
- 200 SW 14TH St
Newton, KS 67114-4701 - Phone
- (316) 283-4770
- NPI assigned
- Oct 19, 2020
- 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
- Brian Gopin
- Title
- Cfo
- Phone
- (516) 504-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
200 SW 14TH St
Newton, KS 67114-4701
Mailing address
200 SW 14TH St
Newton, KS 67114-4701
Phone (316) 283-4770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5392790 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pclr.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210205000641 | KS | Part A Provider - Skilled Nursing Facility | 2860806676 | Practice locations: Newton, KS |
Skilled nursing facility certification: CCN 175385
- Legal name
- PARAMOUNT COMMUNITY LIVING AND REHAB INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1996
- Last certification
- Mar 28, 2024
- Beds
- 149 (101 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 200 SW 14TH St
Newton, KS 67114-4701 - Nursing home name
- PARAMOUNT COMMUNITY LIVING AND REHAB INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Paramount Community Living and Rehab Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 1, 1996
- Medicare certification status
- Active
- Certified beds
- 101
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 |
|---|---|---|---|
| 17D0451173 | Paramount Community Living and Rehab, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| Michael K Williams | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Brian Gopin | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Merch Pay Inc | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Ephram M Lahasky | Corporate Officer | Feb 1, 2021 | 33.33% |
| Managing Control - Governing Body | Aug 28, 2020 | ||
| Private Bancorp Inc | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Evolve Therapy Services LLC | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| David Fleischmann | Operational/Managerial Control | Jan 12, 2022 | |
| Adp of the SNF | Jan 12, 2022 | ||
| Yisroel I Chafetz | Corporate Officer | Feb 1, 2021 | 33.33% |
| Operational/Managerial Control | Feb 1, 2021 | ||
| Managing Control - Governing Body | Feb 1, 2021 | ||
| Adp of the SNF | Feb 1, 2021 | ||
| Amy Vanbrunt | Operational/Managerial Control | Sep 15, 2024 | |
| Adp of the SNF | Sep 15, 2024 | ||
| Limestone Fiscal Services LLC | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Saul N Friedman & Company | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Barbara Pierce | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Brenda Franklin | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Gretchen Wagner | Operational/Managerial Control | Apr 8, 2021 | |
| Adp of the SNF | Apr 8, 2021 | ||
| Mark a Sroczynski | Corporate Officer | Feb 1, 2021 | 33.34% |
| Operational/Managerial Control | Feb 1, 2021 | ||
| Managing Control - Governing Body | Dec 5, 2024 | ||
| Adp of the SNF | Feb 1, 2021 | ||
| Zimmet Healthcare Services Group LLC | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Emerald Healthcare LLC | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Stacey Ray | Operational/Managerial Control | Nov 7, 2022 | |
| Adp of the SNF | Nov 7, 2022 | ||
| Julianne Pankratz | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Newton, KS
- NPI 1043229149
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 95
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Topeka, KS
- NPI 1689851461
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Aberdeen, SD
- NPI 1467955682
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376531681
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Bluffton, IN
- NPI 1447231832
Forvis Mazars LLP
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003174814
-
- Family Medicine Physician
- Newton, KS
- NPI 1043229149
Affiliated clinicians 4
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": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612656000000",
"number": "1003415415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SW 14TH ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671144701",
"telephone_number": "316-283-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SW 14TH ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671144701",
"telephone_number": "316-283-4770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT COMMUNITY LIVING AND REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A",
"authorized_official_last_name": "GOPIN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "516-504-9797"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5392790",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pclr.org",
"affiliation": "N",
"address_1": "200 SW 14th St",
"city": "Newton",
"state": "KS",
"country_code": "US",
"postal_code": "671144701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.