Family Health and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087061 Issued in KS

Legal business name

FAMILY HEALTH AND REHABILITATION CENTER LLC

Practice address

639 South Maize Court
Wichita, KS 67209-1337

Phone

(316) 425-5600

Fax

(316) 425-8400

NPI assigned

Dec 26, 2007

Last updated

Oct 10, 2008By 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

Frederick Hermes

Title

Chief Executive Officer

Phone

(316) 425-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205010303. Details of each certification follow.

• CCN 175501 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 175501

Legal name

FAMILY HEALTH AND REHABILITATION CENTER LLC

Doing business as

FAMILY HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 7, 2008

Last certification

Apr 24, 2024

Beds

72

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Axiom Healthcare Alliance

Organization structure

LLCProprietary

Incorporated

Mar 22, 2007 in KS

Enrollment address

639 S Maize CT
Wichita, KS 67209-1337

Nursing home name

FAMILY HEALTH & REHABILITATION CENTER

Listed as

Family Health & Rehabilitation CenterCCN 175501 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 7, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7266.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 2

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

• Gregory F Lakin, D.O., J.D.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1003867953

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Dennis L Ross, M.D.

  • Specialist
  • Wichita, KS
  • NPI 1073510376

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 4

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

• Cardinal Hospice of Kansas LLC

  • Inpatient Hospice
  • Wichita, KS
  • NPI 1760298228

  Axiom Healthcare Alliance, LLC, Axiom Healthcare Services LLC

  CMS ownership
• Derby Health & Rehabilitation

  • Skilled Nursing Facility
  • Derby, KS
  • NPI 1316177959

  Axiom Consulting LLC, Axiom Healthcare Alliance, LLC, Axiom Healthcare Services LLC, Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1, Matt Lillie Investments, Inc, Roger Evans Revocable Trust, Wichita Wellness Inc

  CMS ownership
• Greenwood Skilled Nursing and Rehabilitation Center LLC

  dba Nottingham Health and Rehabilitation

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1336585611

  Axiom Consulting LLC, Axiom Healthcare Alliance, LLC, Axiom Healthcare Services LLC, Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1, Matt Lillie Investments, Inc, Roger Evans Revocable Trust, Wichita Wellness Inc

  CMS ownership
• Reeds Cove Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Wichita, KS
  • NPI 1508123738

  Axiom Consulting LLC, Axiom Healthcare Alliance, LLC, Axiom Healthcare Services LLC, Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1, Matt Lillie Investments, Inc, Roger Evans Revocable Trust, Wichita Wellness Inc

  CMS 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": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1205010303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SOUTH MAIZE COURT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091337",
            "telephone_number": "316-425-5600",
            "fax_number": "316-425-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SOUTH MAIZE COURT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091337",
            "telephone_number": "316-425-5600",
            "fax_number": "316-425-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "HERMES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "316-425-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Counseling Center PA
• Family Matters, LLC
• Family Medcenters, P.a. (South Wichita Family MedCenter)
• Family Medcenters, P.a. (Southwest Family MedCenter)
• Family Medcenters, P.a. (Southeast Family MedCenter)
• Family Prescription Shop Inc (Hart Pharmacy)

• Skilled Nursing Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.