Organization Active NPI

Crestview Operations, Inc.

Doing business as Crestview Nursing & Residential Living

  • Skilled Nursing Facility
  • Seneca, KS
National Provider Identifier
1245661065
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRESTVIEW OPERATIONS, INC.
Doing business as
Crestview Nursing & Residential Living
Practice address
808 N 8TH St
Seneca, KS 66538-1419
Phone
(785) 336-2156
Fax
(785) 336-3881
NPI assigned
Dec 4, 2013
Last updated
Dec 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Sara M Sourk
Title
Executive Director
Phone
(785) 336-2156

Specialties & licenses 1

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

Addresses

Primary practice location

808 N 8TH St
Seneca, KS 66538-1419

Mailing address

808 N 8TH St
Seneca, KS 66538-1419
Phone (785) 336-2156

Other names 1

  • Crestview Nursing & Residential Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140218000187 KS Part A Provider - Skilled Nursing Facility 2062641053 Practice locations: Seneca, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245661065. Details of each certification follow.

Skilled nursing facility certification: CCN 175426

Legal name
CRESTVIEW OPERATIONS INC
Doing business as
CRESTVIEW NURSING & RESIDENTIAL LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1998
Last certification
Oct 24, 2024
Beds
43 (34 certified)
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
808 N 8TH St
Seneca, KS 66538-1419
Nursing home name
CRESTVIEW NURSING & RESIDENTIAL LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crestview Nursing & Residential LivingCCN 175426 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3425.3 residents per day on average

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
17D0450005Crestview Nursing and Residential Living808 North 8TH, Seneca, KS 66538Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Organization, Topeka, KS LLC Adp of the SNF Jan 28, 2025
Crestview Operations Inc Organization, Seneca, KS Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2013 100%
Operational/Managerial Control Dec 31, 2013 100%
Organization, Omaha, NE Adp of the SNF Jan 28, 2025
Edward W Sourk Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2013 20%
Corporate DirectorBoard Member Dec 31, 2013 1%
Jarod D Snyder Individual Operational/Managerial Control Mar 1, 2021
Adp of the SNF Jul 1, 2025
Grant W Sourk Individual Corporate DirectorBoard Member Dec 31, 2013 1%
Organization, Saint Louis, MO Corporation Adp of the SNF Mar 12, 2025
United Bank & Trust Organization, Seneca, KS Created for acquisition, Financial institution 5% Or Greater Mortgage Interest Dec 31, 2013 100%
Helen L Sourk Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2013 20%
Corporate DirectorBoard Member Dec 31, 2013 1%
Crestview LLC Organization, Seneca, KS Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2013 100%
Adp of the SNF Dec 31, 2013
Organization, Seneca, KS Financial institution Adp of the SNF Mar 18, 2025
Indirect Ownership Interest May 22, 2024
Sara M Sourk Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2013 60%
Corporate Officer Dec 31, 2013 100%
Corporate DirectorBoard Member Dec 31, 2013 96%
Operational/Managerial Control Dec 31, 2013
Adp of the SNF Jun 27, 2025
Luke E Sourk Individual Corporate DirectorBoard Member Dec 31, 2013 1%
Carol Henninger Individual Operational/Managerial Control Jan 9, 2023
Beth Niehues Individual Operational/Managerial Control May 22, 2007
Individual Adp of the SNF Jan 1, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1245661065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N 8TH ST",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665381419",
            "telephone_number": "785-336-2156",
            "fax_number": "785-336-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 8TH ST",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665381419",
            "telephone_number": "785-336-2156",
            "fax_number": "785-336-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW OPERATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "SOURK",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-336-2156"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Nursing & Residential Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, KS

Sources for this page

Verify at the official NPI Registry.