Ict 13 SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087070 Issued in KS

Legal business name

ICT 13 SNF, LLC

Doing business as

Regent Park Rehabilitation and Healthcare

Practice address

10604 E 13TH St N
Wichita, KS 67206-3706

Phone

(316) 733-1144

NPI assigned

Mar 9, 2012

Last updated

Sep 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip Brooks

Title

Vice President / Cfo

Phone

(316) 733-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regent Park Rehabilitation and Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154696144. Details of each certification follow.

• CCN 175527 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 175527

Legal name

ICT 13 SNF, LLC

Doing business as

REGENT PARK REHABILITATION AND HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 22, 2012

Last certification

Apr 10, 2024

Beds

84

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

10604 E 13TH St N
Wichita, KS 67206-3706

Nursing home name

REGENT PARK REHABILITATION AND HEALTHCARE

Listed as

Regent Park Rehabilitation and HealthcareCCN 175527 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 22, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8472.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Ict 13 SNF LLC2 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.

• Regent Park Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Wichita, KS
  • NPI 1992248629
  NPD tax ID

Locations

All disclosed owners & managing parties 7

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

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.

• Tyler M Buser, M.D.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1912148776
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• R. Lamont Bloom, M.D.

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1225005879

  Nursing home

  Care Compare affiliation
• Tyler M Buser, M.D.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1912148776

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1154696144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 E 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063706",
            "telephone_number": "316-733-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 E 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063706",
            "telephone_number": "316-733-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT 13 SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "316-733-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "175527",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Park Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Wichita, KS
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• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.