K C Health Care Enterprises Inc
Organization Active NPI Skilled Nursing Facility · Gothenburg, NE
NPI 1124012208 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1124012208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 224002 (NE)
- Legal business name
- K C HEALTH CARE ENTERPRISES INC
- Practice address
- 2520 Avenue M
Gothenburg, NE 69138-2527 - Phone
- (308) 537-7138
- Fax
- (308) 537-7130
- NPI assigned
- Sep 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott Bahe
- Title
- Administrator
- Phone
- (308) 537-7138
Owners & managing parties with NPI records 12
-
Craig David Bartruff, M.D.
Facilities with the same owner 1
Practitioners 2
-
Craig David Bartruff, M.D.
-
Aaron I Salomon, PAC
Affiliated clinicians 4
-
Kayla S Knauss, D.O.
-
Aaron I Salomon, PAC
-
Garret T Shaw, MD
-
Michelle K Chew, NP
Medicare Care Compare: Nursing home
- Listed as
- Hilltop Estates
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 2, 1995
- Medicare certification status
- Active
- Certified beds
- 64 · 41.2 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0898544 | Hilltop Estates | Certificate of waiver | Mar 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Skilled nursing facility certification: CCN 285163
- Legal name
- K C HEALTH CARE ENTERPRISES INC
- Doing business as
- HILLTOP ESTATES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 2, 1995
- Last certification
- Mar 18, 2025
- Beds
- 64
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2520 Avenue M
Gothenburg, NE 69138-2527 - Nursing home name
- HILLTOP ESTATES
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| S. Douglas Kucera, Cpa |
Operational/Managerial Control | Jan 1, 2005 | |
| Adp of the SNF | Feb 24, 2025 | ||
| Scott Bahe |
Corporate Officer |
Mar 15, 1998 | 100% |
| Operational/Managerial Control | Mar 15, 1998 | ||
| Adp of the SNF | Mar 15, 1998 | ||
| Emily R Stoddard |
Operational/Managerial Control | Feb 24, 2025 | |
| Adp of the SNF | Feb 24, 2025 | ||
| Tiffany R Donner |
Operational/Managerial Control | Nov 11, 2016 | |
| Adp of the SNF | Nov 11, 2016 | ||
| Luminate HCC LLC |
Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Feb 21, 2025 | ||
| Rachel Weicker |
Operational/Managerial Control | Aug 23, 2021 | |
| Adp of the SNF | Aug 23, 2021 | ||
| Craig D Bartruff |
5% Or Greater Direct Ownership Interest |
Oct 19, 2009 | 100% |
| Operational/Managerial Control | Mar 15, 1995 | ||
| Adp of the SNF | Mar 15, 1995 | ||
| Family Physical Therapy & Sports Center |
Operational/Managerial Control | Dec 1, 2021 | |
| Adp of the SNF | Mar 5, 2025 | ||
| Flatwater Bank |
Operational/Managerial Control | Jan 1, 1995 | |
| Adp of the SNF | Mar 5, 2025 | ||
| Shirley E Osborn |
Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | May 1, 2019 | ||
| Key Rehabilitation Inc |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Feb 24, 2025 | ||
| K C Health Care Enterprises Inc |
5% Or Greater Direct Ownership Interest | Feb 15, 1995 | 100% |
| Adp of the SNF | Mar 15, 1995 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091218000481 | NE | Part a Provider - Skilled Nursing Facility | 9739229923 | Practice locations: Gothenburg, NE |
National Provider Directory
Locations
2520 Avenue M
Gothenburg, NE 69138
Phone (308) 537-7138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 224002 | NE | Yes |
Addresses
Primary practice location
2520 Avenue M
Gothenburg, NE 69138-2527
Mailing address
2520 Avenue M
Gothenburg, NE 69138-2527
Phone (308) 537-7138
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000496 | Other | NE | BC/BS OF NE |
| 10025192700 | Medicaid | NE | |
| 10025150300 | Medicaid | NE |
Other names
- HILLTOP ESTATES
Other providers in Gothenburg, NE
- Wendy Hunt Most
- Independence at Home
- JHH Services LLC
- Craig Allen Johnson
- Kimberly A Johnson
- Kimberly Johnson OD LLC
- Kayla S Knauss
- Lyndee Koch
- Daniel Kreis
- Lake Avenue Eyecare LLC
All providers in Gothenburg, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.