NPIMap

Organization Active NPI

Liberal SNF Op Co LLC

Doing business as Wheatridge Park Care Center

  • Skilled Nursing Facility
  • Liberal, KS
National Provider Identifier
1013309830
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERAL SNF OP CO LLC
Doing business as
Wheatridge Park Care Center
Practice address
1501 S Holly Dr
Liberal, KS 67901-2156
Phone
(620) 624-0130
NPI assigned
Mar 3, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LIBERAL SNF HOLDCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dean Kiklis
Title
Member
Phone
(303) 952-9216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1501 S Holly Dr
Liberal, KS 67901-2156

Mailing address

1501 S Holly Dr
Liberal, KS 67901-2156
Phone (620) 624-0130

Other names 1

  • WHEATRIDGE PARK CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827000537 KS Part A Provider - Skilled Nursing Facility 1759692643 Practice locations: Liberal, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013309830. Details of each certification follow.

Skilled nursing facility certification: CCN 175459

Legal name
LIBERAL SNF OP CO LLC
Doing business as
WHEATRIDGE PARK CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 4, 2002
Last certification
Sep 16, 2024
Beds
55 (51 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Frontline Management
Organization structure
LLCProprietary
Enrollment address
1501 S Holly Dr
Liberal, KS 67901-2156
Nursing home name
WHEATRIDGE PARK CARE CENTER
Affiliated entity
FRONTLINE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wheatridge Park Care CenterCCN 175459 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5140.5 residents per day on average
Chain
Frontline Management9 facilities in the chain
Penalties (3 years)
2Fines totaling $158,640

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2668 Northpark Dr
Ste 220
Lafayette, CO 80026

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Isaac S Dole Individual 5% Or Greater Indirect Ownership Interest Jan 23, 2015 40%
Robert Jones Individual Indirect Ownership Interest Jan 23, 2015 3%
Fmi-Liberal LLC Organization, Lafayette, CO Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 23, 2015 60%
Kelly Saracino Individual Operational/Managerial Control Jul 1, 2021
Direct Ownership Interest Jul 1, 2021 1%
Doug Wyckoff Individual Operational/Managerial Control Oct 31, 2022
Adp of the SNF Oct 31, 2022
Newport Real Estate Capital LLC Organization, Parsippany, NJ LLC, Private equity company 5% Or Greater Security Interest Sep 27, 2018 70%
Frontier Management Inc Organization, Lafayette, CO Management services company, Chain home office Operational/Managerial Control May 1, 2015
Adp of the SNF May 5, 2025
Heather Orback Individual Indirect Ownership Interest Jan 23, 2015 3%
Frontline MDS Exchange LLC Organization, Lafayette, CO LLC, Consulting firm Adp of the SNF Jul 1, 2019
BHCP Liberal Sponsor LLC Organization, Chicago, IL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 23, 2015 40%
Michelle Newton Individual Operational/Managerial Control Dec 26, 2017
Adp of the SNF Dec 26, 2017
Victor Cruz Individual Operational/Managerial Control Apr 19, 2022
Adp of the SNF Apr 19, 2022
Openwork Health LLC Organization, Great Bend, KS LLC, Medical staffing company Adp of the SNF Mar 31, 2022
Davis Square Holdings LLC Organization, Chicago, IL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 19, 2018 40%
Finanical Management Inc Organization, Cimarron, KS Adp of the SNF Jan 1, 2016
Pinnacle Pharmacy Group Inc Organization, Cimarron, KS Corporation, Medical provider/supplier, Consulting firm Adp of the SNF Mar 1, 2025
Liberal SNF Holdco LLC Organization, Lafayette, CO Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 23, 2015 100%
Adam Baker Individual Operational/Managerial Control Apr 16, 2020
Adp of the SNF Apr 16, 2020
Latisha Van Wyhe Individual Operational/Managerial Control Apr 4, 2023
Adp of the SNF Apr 4, 2023
Dean Kiklis Individual Indirect Ownership Interest Jan 23, 2015 3%
Elliot Lekawa Individual Adp of the SNF Nov 1, 2019
Whitney Seigrist Individual Operational/Managerial Control Jul 26, 2024
Adp of the SNF Jul 26, 2024
Edison Ong Individual Operational/Managerial Control Apr 4, 2025
Adp of the SNF Apr 4, 2025
Robert Vasquez Individual Operational/Managerial Control Oct 8, 2024
Vicki Holland Individual Adp of the SNF Nov 25, 2020
Angela Scott Individual Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Tamara L McCue Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Cherise Salas Individual Operational/Managerial Control May 1, 2015
Adp of the SNF May 1, 2015
Steven W Veluscek Individual 5% Or Greater Indirect Ownership InterestManaging Member of Fmi Liberal LLC Jan 23, 2015 51%
Corporate Officer Jan 23, 2015
Amy Vanette Bryan Individual Operational/Managerial Control Jun 12, 2012
Adp of the SNF Jun 12, 2012
Janine Lovato Individual Operational/Managerial Control Jun 24, 1992
Adp of the SNF Jun 14, 1992
Lippold & Holland LLC Organization, Keizer, OR LLC Adp of the SNF Nov 25, 2020
Key Rehabilitation Inc Organization, Murfreesboro, TN Corporation Adp of the SNF Feb 1, 2024

Owners & managing parties with NPI records 11

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1013309830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S HOLLY DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012156",
            "telephone_number": "620-624-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S HOLLY DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012156",
            "telephone_number": "620-624-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL SNF OP CO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERAL SNF HOLDCO LLC",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "KIKLIS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-952-9216"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHEATRIDGE PARK CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.