NPIMap

Organization Active NPI

Carnegie Village Rehabilitation & Health Care Center LLC

  • Skilled Nursing Facility
  • Belton, MO
National Provider Identifier
1215673603
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC
Practice address
103 Bernard Dr
Belton, MO 64012-6182
Phone
(916) 491-6164
NPI assigned
May 9, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Joseph C Tutera
Title
Sole Member
Phone
(816) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

103 Bernard Dr
Belton, MO 64012-6182

Mailing address

7611 State Line Rd Ste 301
Kansas City, MO 64114-1698
Phone (636) 222-0060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803001750 MO Part A Provider - Skilled Nursing Facility 8921480229 Practice locations: Belton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215673603. Details of each certification follow.

Skilled nursing facility certification: CCN 265861

Legal name
CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 20, 2017
Last certification
Sep 15, 2023
Beds
78
Ownership / control type
Corporation
Multi-facility organization
TUTERA SENIOR LIVING
Organization structure
LLCProprietary
Incorporated
Apr 4, 2022 in MO
Enrollment address
105 Bernard Dr
Belton, MO 64012-6181
Nursing home name
CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC
Affiliated entity
TUTERA SENIOR LIVING & HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carnegie Village Rehabilitation & Health Care CentCCN 265861 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 20, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7872.7 residents per day on average
Chain
Tutera Senior Living & Health Care25 facilities in the chain
Penalties (3 years)
1Fines totaling $15,646

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tutera Investments, LLC Organization, Kansas City, MO LLC 5% Or Greater Direct Ownership Interest Jun 1, 2022 25%
Jeff Gannon Individual Corporate OfficerVP of Revenue Cycle Management Jun 1, 2022 5%
Operational/Managerial ControlVP of Revenue Cycle Management Jun 1, 2022 5%
Joseph C Tutera Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2022 25%
Kiley a Brooks Individual Corporate OfficerSr VP of Accounting & Oper. Finance Jun 1, 2022 10%
Operational/Managerial ControlSr VP of Accounting & Oper. Finance Jun 1, 2022 10%
Walnut Creek Management Company LLC Organization, Kansas City, MO LLC Operational/Managerial Control Jun 1, 2022 25%

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 5

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 5

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": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1215673603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD STE 301",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141698",
            "telephone_number": "636-222-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BERNARD DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640126182",
            "telephone_number": "916-491-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.