NPIMap

Organization Active NPI

Cheyenne County Village Inc

  • Skilled Nursing Facility
  • Saint Francis, KS
National Provider Identifier
1225512304
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHEYENNE COUNTY VILLAGE INC
Practice address
820 S Denison St
Saint Francis, KS 67756-3541
Phone
(785) 332-2531
Fax
(785) 332-2716
NPI assigned
Sep 24, 2018
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Ryan Grace
Title
Executive Vice President
Phone
(913) 333-2843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

820 S Denison St
Saint Francis, KS 67756-3541

Mailing address

1654 US Highway 36
Saint Francis, KS 67756-5915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181130001361 KS Part A Provider - Skilled Nursing Facility 0648514786 Practice locations: Saint Francis, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225512304. Details of each certification follow.

Skilled nursing facility certification: CCN 175347

Legal name
CHEYENNE COUNTY VILLAGE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1995
Last certification
Sep 28, 2023
Beds
45 (30 certified)
Ownership / control type
Nonprofit Corporation
Most recent change of ownership
Nov 1, 2018
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 2018 in KS
Enrollment address
820 S Denison St
Saint Francis, KS 67756-3541
Nursing home name
CHEYENNE COUNTY VILLAGE INC
Affiliated entity
GRACE TEAM SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cheyenne County Village IncCCN 175347 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3027.9 residents per day on average
Chain
Grace Team Services9 facilities in the chain
Penalties (3 years)
1Fines totaling $13,287

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Daphne McTague Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Ryan J Grace Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018
Cheyenne County Village Inc Organization, Saint Francis, KS Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2018 100%
Operational/Managerial Control Nov 1, 2018
County of Cheyenne Organization, Saint Francis, KS Adp of the SNF Oct 22, 2018
Eddy Schultz Individual Corporate DirectorBoard Member Nov 1, 2018
Rod Klepper Individual Corporate OfficerBoard Member Nov 1, 2018 100%
Direct Ownership Interest Nov 1, 2018 100%
Brooke Lohr Individual Corporate OfficerBoard Member Jan 1, 2021 100%
Thomas E Keller Individual Corporate DirectorBoard Member Nov 1, 2018
Grace Team LLC Organization, Topeka, KS LLC, Management services company, For-profit Operational/Managerial Control Nov 1, 2018 100%
Adp of the SNF Jun 10, 2025
Sherry Carmichael Individual Corporate DirectorBoard Member Nov 1, 2018
Sara Houtman Individual Corporate DirectorBoard Member Nov 1, 2018
Eric J Huebert Individual Operational/Managerial Control Oct 18, 2018
Adp of the SNF Oct 18, 2018
GT Services LLC Organization, Topeka, KS LLC, Medical staffing company, For-profit Operational/Managerial Control Nov 1, 2019
Adp of the SNF Aug 6, 2025
Heather M Licke Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018

Owners & managing parties with NPI records 2

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1225512304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 US HIGHWAY 36",
            "city": "SAINT FRANCIS",
            "state": "KS",
            "postal_code": "677565915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DENISON ST",
            "city": "SAINT FRANCIS",
            "state": "KS",
            "postal_code": "677563541",
            "telephone_number": "785-332-2531",
            "fax_number": "785-332-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE COUNTY VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "913-333-2843"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, KS

Sources for this page

Verify at the official NPI Registry.