Organization Active NPI

Caritas Center, Inc.

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1053693374
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N087064MedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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, IncCCN 175534 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 4, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2217.4 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
17D2033501Caritas Center1400 South Sheridan, Wichita, KS 67213Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
CSJ Initiatives Inc Organization, Wichita, KS Corporation, Management services company, Consulting firm, Non-profit Operational/Managerial Control Nov 17, 2017 100%
Angela M Laquet Individual Corporate DirectorBoard Member Oct 1, 2018
Mary Clark Individual Corporate OfficerSecretary Jan 5, 2011
Victoria Bergkamp Individual Corporate OfficerTreasurer Jan 5, 2011
Susan Lynne Roughton Individual Contracted Managing EmployeeAdministrator Jun 23, 2021 100%
Janet McCann Individual Corporate DirectorBoard Member Oct 1, 2018
Mary Louise Hughes Individual Corporate DirectorBoard Member Oct 1, 2018
Joshua Johnson Individual Corporate OfficerCfo Jul 6, 2021 100%
Adorers of the Blood of Christ United States Region Organization, Saint Louis, MO Corporation, Non-profit 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.

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 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

Verify at the official NPI Registry.