NPIMap

Hospital District No. 1 of Dickinson County, Kansas

Organization Active NPI Nursing Facility/Intermediate Care Facility · Abilene, KS

NPI 1174576532 · NPPES record last updated Aug 5, 2025

Key facts

NPI
1174576532
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
H 021 001 (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
Organization subpart
Yes
Parent organization (as reported)
HOSPITAL DISTRICT #1 OF DICKINSON COUNTY, KANSAS

Authorized official

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

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 8

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

Facilities with the same owner 11

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

Practitioners 18

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

Affiliated clinicians 6

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

Medicare Care Compare: Nursing home

Listed as
Memorial Hospital Ltcu (Village Manor) CCN 175244
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
Active (Provider of Services file)
Certified beds
75 · 66.6 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0452390Village Manor
705 N Brady Street, Abilene, KS 67410		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

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
Government · Non-profit
Enrollment address
705 N Brady St
Abilene, KS 67410-2113
Nursing home name
MEMORIAL HOSPITAL LTCU (VILLAGE MANOR)

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 Director
Board Member		 May 1, 2015
Kimberly Haverly
Individual 		Operational/Managerial Control Jun 30, 2025
Karman Diehl
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Kent P. Wyatt
Individual 		Corporate Director
Board 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 Director
Board Member		 Apr 1, 2015

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 Hospital
Abilene, KS · CCN 171381		 Hospital Operational/Managerial Control Nov 27, 2017
Memorial Hospital
Abilene, KS · CCN 17Z381		 Hospital Operational/Managerial Control Nov 27, 2017

Medicare enrollment records

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

National Provider Directory

Tax ID family
Memorial Hospital Ambualn (9 organizations share this tax ID)
Part of
Memorial Hospital Ambualn

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X H 021 001 KS Yes
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 identifiers

IdentifierTypeStateIssuer
30003942230003MedicaidKS

Other names

  • Village Manor Other name

Other providers in Abilene, KS

All providers in Abilene, KS · Nursing Facility/Intermediate Care Facility in Kansas

Sources for this page

Verify at the official NPI Registry.