NPIMap

Organization Active NPI

Americare at Montgomery Place Nursing Center LLC

  • Skilled Nursing Facility
  • Independence, KS
National Provider Identifier
1184910465
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMERICARE AT MONTGOMERY PLACE NURSING CENTER LLC
Practice address
614 S 8TH St
Independence, KS 67301-4205
Phone
(620) 331-2577
NPI assigned
Jun 24, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
James Reiker
Title
President
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

614 S 8TH St
Independence, KS 67301-4205

Mailing address

614 S 8TH St
Independence, KS 67301-4205
Phone (620) 331-2577

Other names 1

  • Montgomery Place Nursing Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000219 KS Part A Provider - Skilled Nursing Facility 3779751979 Practice locations: Independence, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184910465. Details of each certification follow.

Skilled nursing facility certification: CCN 175511

Legal name
AMERICARE AT MONTGOMERY PLACE NURSING CENTER, LLC
Doing business as
MONTGOMERY PLACE NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 8, 2008
Last certification
Feb 6, 2025
Beds
43
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Americare
Most recent change of ownership
Sep 1, 2011
Organization structure
LLCProprietary
Incorporated
Jun 17, 2011 in DE
Enrollment address
614 S 8TH St
Independence, KS 67301-4205
Nursing home name
MONTGOMERY PLACE NURSING CENTER
Affiliated entity
AMERICARE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Montgomery Place Nursing CenterCCN 175511 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 8, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4339.4 residents per day on average
Chain
Americare Senior Living23 facilities in the chain

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
17D1099121Americare at Montgomery Place614 South Eighth Street, Independence, KS 67301Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Kyle Schade Individual Contracted Managing EmployeePresident Mar 1, 2021
Corporate OfficerVice President Mar 1, 2021
HWJ LLC Organization, Sikeston, MO Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2011 100%
Americare Systems, Inc. Organization, Sikeston, MO Management services company Operational/Managerial Control Sep 1, 2011
William Montgomery Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2011 33.33%
Henley Montgomery Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2011 33.33%
Julianna Ford Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2011 33.33%
Robert Hammond Individual Operational/Managerial Control Jul 1, 2022

Facilities with the same owner 23

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

View all 23

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 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": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1184910465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S 8TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673014205",
            "telephone_number": "620-331-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S 8TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673014205",
            "telephone_number": "620-331-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AT MONTGOMERY PLACE NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Place Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Independence, KS

Sources for this page

Verify at the official NPI Registry.