Organization Active NPI

The Nicol Home, Inc.

  • Skilled Nursing Facility
  • Glasco, KS
National Provider Identifier
1104874973
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N015004 Issued in KS
Legal business name
THE NICOL HOME, INC.
Practice address
303 E Buffalo St
Glasco, KS 67445-9386
Phone
(785) 568-2251
Fax
(785) 568-2113
NPI assigned
May 4, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Mr. Francis Tatro, ADM.
Title
Administrator
Phone
(785) 568-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N015004 KS Primary

Addresses

Primary practice location

303 E Buffalo St
Glasco, KS 67445-9386

Mailing address

303 E Buffalo St
Glasco, KS 67445-9386
Phone (785) 568-2251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000670 KS Part A Provider - Skilled Nursing Facility 0244125433 Practice locations: Glasco, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104874973. Details of each certification follow.

Skilled nursing facility certification: CCN 175473

Legal name
THE NICOL HOME, INC.
Doing business as
THE NICOL HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 2004
Last certification
Jul 31, 2024
Beds
32
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Enrollment address
303 E Buffalo Street
Glasco, KS 67445-9386
Nursing home name
THE NICOL HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Nicol HomeCCN 175473 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3226.2 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
17D0648359Nicol Home Inc, the303 East Buffalo, Glasco, KS 67445Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

303 E Buffalo St
Glasco, KS 67445
Phone (785) 568-2251

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
Tracy J Travis Individual Corporate DirectorNicol Home Board President Feb 21, 2024
Operational/Managerial Control Feb 21, 2024
Marvin Hanning Individual Corporate DirectorNicol Home Board Member Jan 1, 2011 10%
Operational/Managerial Control Jan 1, 2011
Michelle Wilson Individual Corporate DirectorNicol Home Board Member Feb 21, 2024
Operational/Managerial Control Feb 21, 2024
Patrick Gray Individual Corporate DirectorNicol Home Board Member Feb 21, 2024
Operational/Managerial Control Feb 21, 2024
Janice McClellan Individual Corporate DirectorNicol Home Board Vice President Jul 30, 2016
Operational/Managerial Control Jul 30, 2016
Carter Olson Individual Corporate OfficerAdministrator Jul 1, 2018
Operational/Managerial ControlAdministrator Aug 18, 2018
Adp of the SNF Aug 18, 2018
Michelle R Labes Individual Corporate DirectorNicol Home Board Member Feb 21, 2024
Operational/Managerial Control Feb 21, 2024
Eric S Anderson Individual Adp of the SNF Jan 1, 2024
David Melton Individual Corporate DirectorNicol Home Board Member Jan 1, 2021 10%
Operational/Managerial Control Jan 1, 2021

Owners & managing parties with NPI records 1

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

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 4

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1104874973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BUFFALO ST",
            "city": "GLASCO",
            "state": "KS",
            "postal_code": "674459386",
            "telephone_number": "785-568-2251",
            "fax_number": "785-568-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BUFFALO ST",
            "city": "GLASCO",
            "state": "KS",
            "postal_code": "674459386",
            "telephone_number": "785-568-2251",
            "fax_number": "785-568-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NICOL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "TATRO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-568-2251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADM."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N015004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasco, KS

Sources for this page

Verify at the official NPI Registry.