Organization Active NPI

Friends of Kansas Christian Home Inc

  • Skilled Nursing Facility
  • Newton, KS
National Provider Identifier
1013013846
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N040004 Issued in KS
Legal business name
FRIENDS OF KANSAS CHRISTIAN HOME INC
Practice address
1035 SE 3Rd St
Newton, KS 67114-3904
Phone
(316) 283-6600
Fax
(316) 283-6375
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Justin Harland, DPT, LNHANPI 1841788122
Title
Ceo
Phone
(316) 871-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X N-040004 KS
Skilled Nursing Facility 314000000X N040004 KS Primary

Addresses

Primary practice location

1035 SE 3Rd St
Newton, KS 67114-3904

Mailing address

1035 SE 3Rd St
Newton, KS 67114-3904
Phone (316) 283-6600

Other identifiers 2

IdentifierTypeStateIssuer
200366760AMedicaidKS
1581OtherKSBCBS OF KANSAS

Other names 1

  • Kansas Christian Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000679 KS Part A Provider - Skilled Nursing Facility 7416963285 Practice locations: Newton, KS

Skilled nursing facility certification: CCN 175467

Legal name
FRIENDS OF KANSAS CHRISTIAN HOME INC
Doing business as
KANSAS CHRISTIAN HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2003
Last certification
Jul 3, 2024
Beds
60 (54 certified)
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
1035 SE 3Rd St
Newton, KS 67114-3904
Nursing home name
KANSAS CHRISTIAN HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kansas Christian HomeCCN 175467
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Aug 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5448.5 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
17D0451179Kansas Christian Home Office1035 South East 3Rd, Newton, KS 67114Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1035 SE 3rd St
Newton, KS 67114
Phone (316) 283-6600

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Donna F Flemming Individual Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Robert Hiss Individual Corporate Officer Jul 1, 2021 12.5%
Todd a Tangeman Individual Corporate DirectorBoard Member Jul 1, 2022
Robert Gleason Individual Corporate OfficerBoard Chair Jul 1, 2018 12.5%
Debra Schwarz Individual Corporate DirectorBoard Member Jul 1, 2023 12.5%
Linda Galloway Individual Corporate DirectorBoard Member Jul 1, 2021 12.5%
Patricia Bunton Individual Corporate DirectorBoard Member Jul 1, 2022 12.5%
Greg Hamlin Individual Corporate Director Jan 1, 2025
Friends of Kansas Christian Home Inc Organization, Newton, KS Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 7, 2004 100%
Adp of the SNF Jan 21, 2025
David Dubovich Individual Corporate DirectorBoard Member Jul 1, 2022 12.5%
Samuel Birket Individual Corporate Director Jan 1, 2025
Caleb Flint Individual Corporate DirectorBoard Member Jul 1, 2023 12.5%
Justin Harland Individual Corporate Director Jan 15, 2024 100%
Operational/Managerial Control Jan 15, 2024
Adp of the SNF Jan 30, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1013013846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SE 3RD ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143904",
            "telephone_number": "316-283-6600",
            "fax_number": "316-283-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SE 3RD ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143904",
            "telephone_number": "316-283-6600",
            "fax_number": "316-283-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF KANSAS CHRISTIAN HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "HARLAND",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-871-2677",
        "authorized_official_credential": "DPT, LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N-040004",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N040004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "1581",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas Christian Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas Christian Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.