Organization Active NPI

Wakefield Operator, LLC

  • Skilled Nursing Facility
  • Wakefield, KS
National Provider Identifier
1093364085
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WAKEFIELD OPERATOR, LLC
Practice address
509 Grove St
Wakefield, KS 67487-9159
Phone
(785) 461-5417
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Stuart Lindeman
Title
President and Ceo
Phone
(813) 280-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

509 Grove St
Wakefield, KS 67487-9159

Mailing address

2907 W Bay to Bay Blvd Ste 303
Tampa, FL 33629-8187

Other identifiers 1

IdentifierTypeStateIssuer
N014003OtherKSKANSAS STATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029002446 KS Part A Provider - Skilled Nursing Facility 0840522587 Practice locations: Wakefield, KS

Skilled nursing facility certification: CCN 175272

Legal name
WAKEFIELD OPERATOR LLC
Doing business as
WAKEFIELD CARE AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1993
Last certification
Nov 20, 2023
Beds
60 (45 certified)
Ownership / control type
Corporation
Multi-facility organization
Mission Health Communities
Organization structure
LLCProprietary
Incorporated
Jul 23, 2019 in FL
Enrollment address
509 Grove St
Wakefield, KS 67487-9159
Nursing home name
WAKEFIELD CARE AND REHAB
Affiliated entity
MISSION HEALTH COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wakefield Care and RehabCCN 175272
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.4 residents per day on average
Chain
Mission Health Communities30 facilities in the chain
Penalties (3 years)
1Fines totaling $15,593

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
17D0452546Wakefield Operator, LLC509 Grove Street, Wakefield, KS 67487Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Stuart D Lindeman Individual Operational/Managerial ControlPresident and Ceo of Mission Hea Oct 1, 2019
Wakefield Operator LLC Organization, Tampa, FL LLC, For-profit Operational/Managerial Control Oct 1, 2019 100%
Jamie Yoakum Individual Corporate OfficerCfo Jul 24, 2024
Operational/Managerial ControlCfo Jul 24, 2024
Barres, LLC Organization, Tampa, FL LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%
Christopher a Scott Individual Operational/Managerial ControlAdministrator Oct 1, 2019
Mich 16 Wakefield LLC Organization, Brooklyn, NY Created for acquisition, LLC Other Apr 29, 2022
T and C Capital Assets, LLC Organization, Tampa, FL LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%
Curis Holdings, LLC Organization, Tampa, FL LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Coronado Operator, LLC Organization, Tampa, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Mission Health Communities, LLC Organization, Tampa, FL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2019 100%
Windward Health Partners LLC Organization, Tampa, FL Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 90%
Tina Thomas Individual Operational/Managerial ControlSenior VP of Operations Oct 1, 2019

Facilities with the same owner 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 3

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": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1093364085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 W BAY TO BAY BLVD STE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 GROVE ST",
            "city": "WAKEFIELD",
            "state": "KS",
            "postal_code": "674879159",
            "telephone_number": "785-461-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-280-1333"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE NUMBER",
            "identifier": "N014003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, KS

Sources for this page

Verify at the official NPI Registry.