Active NPI
Caritas Center, Inc.
- Skilled Nursing Facility
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CARITAS CENTER, INC.
- Practice address
- 1400 S Sheridan
Wichita, KS 67213-1336 - Phone
- (316) 942-2201
- NPI assigned
- Sep 13, 2011
- Last updated
- Feb 10, 2012
- 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
- Mr. William Slater
- Title
- VP of Finance & Technology
- Phone
- (316) 946-5215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1400 S Sheridan
Wichita, KS 67213-1336
Mailing address
1400 S Sheridan St
Wichita, KS 67213-1336
Phone (316) 942-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N087064 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111229000763 | KS | Part A Provider - Skilled Nursing Facility | 5991971673 | Practice locations: Wichita, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053693374. Details of each certification follow.
Skilled nursing facility certification: CCN 175534
- Legal name
- CARITAS CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 4, 2013
- Last certification
- Apr 24, 2024
- Beds
- 22
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 5, 2011 in KS
- Enrollment address
- 1400 S Sheridan St
Wichita, KS 67213-1336 - Nursing home name
- CARITAS CENTER, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Caritas Center, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 4, 2013
- Medicare certification status
- Active
- Certified beds
- 22
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 |
|---|---|---|---|
| 17D2033501 | Caritas Center | Certificate of waiver | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
1400 S Sheridan St
Wichita, KS 67213
Phone (316) 942-2201
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| CSJ Initiatives Inc | Operational/Managerial Control | Nov 17, 2017 | 100% |
| Angela M Laquet | Corporate Director | Oct 1, 2018 | |
| Mary Clark | Corporate Officer | Jan 5, 2011 | |
| Victoria Bergkamp | Corporate Officer | Jan 5, 2011 | |
| Susan Lynne Roughton | Contracted Managing Employee | Jun 23, 2021 | 100% |
| Janet McCann | Corporate Director | Oct 1, 2018 | |
| Mary Louise Hughes | Corporate Director | Oct 1, 2018 | |
| Joshua Johnson | Corporate Officer | Jul 6, 2021 | 100% |
| Adorers of the Blood of Christ United States Region | 5% Or Greater Direct Ownership Interest | Jan 5, 2011 | 100% |
| 5% Or Greater Mortgage Interest | Jan 5, 2011 | 100% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mount St Mary
- Skilled Nursing Facility
- Wichita, KS
- NPI 1881104230
CSJ Initiatives Inc
-
dba St Francis Senior Ministries
- Skilled Nursing Facility
- Tiffin, OH
- NPI 1467924043
CSJ Initiatives Inc
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1750948188
Affiliated clinicians 2
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": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1053693374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S SHERIDAN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672131336",
"telephone_number": "316-942-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S SHERIDAN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672131336",
"telephone_number": "316-942-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARITAS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "SLATER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VP OF FINANCE & TECHNOLOGY",
"authorized_official_telephone_number": "316-946-5215",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N087064",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.