Kansas City United Methodist Retirement Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031145 Issued in MO

Legal business name

KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.

Practice address

10000 Wornall Rd
Kansas City, MO 64114-4359

Phone

(816) 942-0994

Fax

(816) 942-8131

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Richard M Lane

Title

Chair

Phone

(816) 554-6155

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kingswood Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265795

Legal name

KANSAS CITY UNITED METHODIST RETIREMENT HOME INC

Doing business as

KINGSWOOD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2005

Last certification

Sep 29, 2023

Beds

86

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Enrollment address

10000 Wornall Rd
Kansas City, MO 64114-4359

Listed as

Kingswood Senior LivingCCN 265795

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Apr 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8646.0 residents per day on average

Penalties (3 years)

1Fines totaling $14,069

Processed by Care Compare on Aug 1, 2026.

Locations

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.

• Ammar Khalifa, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1780677948

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Brant Michael Willoughby, C.O.T.A.

  • Occupational Therapy Assistant
  • Fort Collins, CO
  • NPI 1568863777
  NPD
• Ammar Khalifa, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1780677948
  NPD (past)

Affiliated clinicians 1

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

• Ammar Khalifa, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1780677948

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1013018399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144359",
            "telephone_number": "816-942-0994",
            "fax_number": "816-942-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144359",
            "telephone_number": "816-942-0994",
            "fax_number": "816-942-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "816-554-6155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031146",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107808602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingswood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.