NPIMap

Organization Active NPI

Hospital District No. 1 of Dickinson County, Kansas

Doing business as Village Manor

  • Nursing Facility/Intermediate Care Facility
  • Abilene, KS
National Provider Identifier
1174576532
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
H 021 001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS
Practice address
705 N Brady St
Abilene, KS 67410-2113
Phone
(785) 263-1431
Fax
(785) 263-7407
NPI assigned
May 18, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL DISTRICT #1 OF DICKINSON COUNTY, KANSASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Kimberly A Haverly
Title
Ceo
Phone
(785) 263-6610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X H 021 001 KS Primary
Skilled Nursing Facility 314000000X H 021 001 KS

Addresses

Primary practice location

705 N Brady St
Abilene, KS 67410-2113

Mailing address

705 N Brady St
Abilene, KS 67410-2113
Phone (785) 263-1431

Other names 1

  • Village Manor Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030530000063 KS Part A Provider - Skilled Nursing Facility 3274440268 Practice locations: Abilene, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174576532. Details of each certification follow.

Skilled nursing facility certification: CCN 175244

Legal name
HOSPITAL DISTRICT NO 1 OF DICKINSON COUNTY KANSAS
Doing business as
VILLAGE MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1993
Last certification
Sep 11, 2024
Beds
78 (75 certified)
Ownership / control type
Hospital District
Most recent change of ownership
Feb 1, 2003
Organization structure
GovernmentNon-profit
Enrollment address
705 N Brady St
Abilene, KS 67410-2113
Nursing home name
MEMORIAL HOSPITAL LTCU (VILLAGE MANOR)

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Memorial Hospital Ltcu (Village Manor)CCN 175244 · All quality measures
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
Government - Hospital district
Certified
Apr 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7566.6 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
17D0452390Village Manor705 N Brady Street, Abilene, KS 67410Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital Ambualn9 organizations share this tax ID, including this one
Part of
Memorial Hospital Ambualn

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Tori Bowers Individual Operational/Managerial Control Dec 21, 2025
Salina Regional Health Center Inc Organization, Salina, KS Corporation, Non-profit Operational/Managerial Control Jan 1, 2022 100%
James Dennis Biggs Individual Corporate DirectorBoard Member May 1, 2015
Kimberly Haverly Individual Operational/Managerial Control Jun 30, 2025
Karman Diehl Individual Corporate DirectorBoard Member Jan 1, 2024
Kent P. Wyatt Individual Corporate DirectorBoard Member Nov 1, 2021
Brian L Holmes Individual Operational/Managerial Control Apr 1, 2017
Adp of the SNF Aug 12, 2025
Joseph Steven Schwarting Individual Corporate DirectorBoard Member Apr 1, 2015

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial HospitalAbilene, KS, CCN 171381 Hospital Operational/Managerial Control Nov 27, 2017
Memorial HospitalAbilene, KS, CCN 17Z381 Hospital Operational/Managerial Control Nov 27, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1174576532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N BRADY ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102113",
            "telephone_number": "785-263-1431",
            "fax_number": "785-263-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N BRADY ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102113",
            "telephone_number": "785-263-1431",
            "fax_number": "785-263-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL DISTRICT #1 OF DICKINSON COUNTY, KANSAS",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-263-6610"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "H 021 001",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "H 021 001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Manor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Village Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.