NPIMap

Organization Active NPI

Kansas Senior Living Inc.

  • Skilled Nursing Facility
  • Dodge City, KS
National Provider Identifier
1083133458
Registry record updated Sep 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KANSAS SENIOR LIVING INC.
Practice address
501 W Beeson Rd
Dodge City, KS 67801-5915
Phone
(620) 227-7512
NPI assigned
Sep 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2017

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

Authorized official

Name
John Richard Grace
Title
Executive Director
Phone
(785) 506-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

501 W Beeson Rd
Dodge City, KS 67801-5915

Mailing address

6025 SW 39TH CT
Topeka, KS 66610-1372

Other identifiers 1

IdentifierTypeStateIssuer
1041738501MedicaidKS

Other names 1

  • SunPorch of Dodge City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005003124 KS Part A Provider - Skilled Nursing Facility 9537434675 Practice locations: Dodge City, KS

Skilled nursing facility certification: CCN 175207

Legal name
KANSAS SENIOR LIVING INC
Doing business as
SUNPORCH OF DODGE CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1991
Last certification
Jan 27, 2025
Beds
45
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Grace Team Services
Most recent change of ownership
Oct 1, 2017
Organization structure
CorporationNon-profit
Incorporated
May 17, 2016 in KS
Enrollment address
501 W Beeson Rd
Dodge City, KS 67801-5915
Nursing home name
SUNPORCH OF DODGE CITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunporch of Dodge CityCCN 175207
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4537.9 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
17D0453121Sunporch of Dodge City501 W Beeson Rd, Dodge City, KS 67801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Kansas Senior Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 W Beeson Rd
Dodge City, KS 67801
Phone (620) 227-7512

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Ryan J Grace Individual Corporate Officer Oct 1, 2017
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Kurt Lampe Individual Corporate DirectorBoard Member May 1, 2023 100%
Andrew W Schowengerdt Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Karla Springer Individual Corporate DirectorBoard Member Jan 1, 2025 100%
Grace Team LLC Organization, Topeka, KS LLC, Management services company, Consulting firm, For-profit Operational/Managerial Control Oct 1, 2017
Adp of the SNF Aug 7, 2025
Tosha Fields Individual Corporate OfficerLnha Apr 19, 2022
Operational/Managerial Control Apr 19, 2022
Adp of the SNF Sep 11, 2025
Julie a Pinkerton Individual Corporate DirectorBoard Member May 1, 2023 100%
Eric J Huebert Individual Corporate Officer Oct 1, 2017
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Debbie Allen Individual Corporate DirectorBoard Member May 1, 2023 100%
Kansas Senior Living Inc Organization, Topeka, KS Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2017 100%
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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.

Affiliated clinicians 6

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": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505520000000",
    "number": "1083133458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 SW 39TH CT",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BEESON RD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015915",
            "telephone_number": "620-227-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS SENIOR LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2017-09-16",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-506-6003"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041738501",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunPorch of Dodge City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.