Active NPI
Via Christi Village Pittsburg Inc
Doing business as Ascension Living Via Christi Village Pittsburg
- Skilled Nursing Facility
- Pittsburg, KS
National Provider Identifier
1285637884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N019013
- Legal business name
- VIA CHRISTI VILLAGE PITTSBURG INC
- Doing business as
- Ascension Living Via Christi Village Pittsburg
- Practice address
- 1502 E Centennial Dr
Pittsburg, KS 66762-6718 - Phone
- (620) 235-0020
- Fax
- (620) 235-0520
- NPI assigned
- May 27, 2005
- Last updated
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Shadbolt
- Title
- Ceo
- Phone
- (314) 729-3500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N019013 | KS | |
| Skilled Nursing Facility | 314000000X | N019013 | KS | Primary |
Addresses
Primary practice location
1502 E Centennial Dr
Pittsburg, KS 66762-6718
Mailing address
1502 E Centennial Dr
Pittsburg, KS 66762-6718
Phone (620) 235-0020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100455940B | Other | KS | HCBS |
| 100455940A | Medicaid | KS |
Other names 2
- Ascension Living Via Christi Village Pittsburg
- Cornerstone Village, Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Pittsburg, KS
- NPI 1720119456
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1831192921
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1679685986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1285637884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 E CENTENNIAL DR",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626718",
"telephone_number": "620-235-0020",
"fax_number": "620-235-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 E CENTENNIAL DR",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626718",
"telephone_number": "620-235-0020",
"fax_number": "620-235-0520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIA CHRISTI VILLAGE PITTSBURG INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "SHADBOLT",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-729-3500"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "KS",
"license": "N019013",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N019013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCBS",
"identifier": "100455940B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100455940A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ascension Living Via Christi Village Pittsburg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cornerstone Village, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.