Active NPI
HMG Park Manor of Salina, LLC
Doing business as Smoky Hill Rehabilitation Center
- Skilled Nursing Facility
- Salina, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N085006
- Legal business name
- HMG PARK MANOR OF SALINA, LLC
- Doing business as
- Smoky Hill Rehabilitation Center
- Practice address
- 1007 Johnstown Ave
Salina, KS 67401-3021 - Phone
- (785) 823-7101
- Fax
- (785) 823-7631
- NPI assigned
- Jan 24, 2008
- Last updated
- Jun 14, 2021
- 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
- Mr. Laurence C. Daspit
- Title
- Cfo
- Phone
- (281) 419-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N085006 | KS | Primary |
Addresses
Primary practice location
1007 Johnstown Ave
Salina, KS 67401-3021
Mailing address
1780 Hughes Landing Blvd Ste 500
The Woodlands, TX 77380-4009
Phone (281) 419-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200557040A | Medicaid | KS |
Other names 1
- SMOKY HILL REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140516000418 | KS | Part A Provider - Skilled Nursing Facility | 9133342397 | Practice locations: Salina, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306023189. Details of each certification follow.
Skilled nursing facility certification: CCN 175185
- Legal name
- HMG PARK MANOR OF SALINA LLC
- Doing business as
- HMG SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 17, 1989
- Last certification
- Apr 23, 2025
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- HMG Healthcare LLC
- Most recent change of ownership
- Nov 1, 2007
- Organization structure
- LLC
- Enrollment address
- 1007 Johnstown Ave
Salina, KS 67401-3021 - Nursing home name
- SMOKY HILL REHABILITATION CENTER
- Affiliated entity
- HMG HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Smoky Hill Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 17, 1989
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- HMG Healthcare
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 7
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- The Woodlands, TX
- NPI 1700880689
Member Of
Locations
4 Waterway Square Pl
Ste 350
The Woodlands, TX 77380
Phone (281) 419-5520
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| CCP Westwood Manor 7348 LLC | Adp of the SNF | Jun 1, 2014 | |
| Ana I Pico | Operational/Managerial Control | Feb 1, 2012 | |
| Adp of the SNF | Feb 1, 2012 | ||
| Indirect Ownership Interest | Feb 1, 2012 | 33% | |
| Kenisha Gaut | Operational/Managerial Control | Sep 6, 2017 | |
| Adp of the SNF | Sep 6, 2017 | ||
| Sabra Health Care Reit Inc | Adp of the SNF | Jun 1, 2024 | |
| Roland Wayne Culp | 5% Or Greater Direct Ownership Interest | Mar 4, 2014 | 32% |
| Operational/Managerial Control | Jun 1, 2014 | ||
| Managing Control - Governing Body | Jun 1, 2014 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Indirect Ownership Interest | Jun 1, 2014 | 33% | |
| HMG Services LLC | Operational/Managerial Control | Jun 1, 2014 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Direct Ownership Interest | Apr 1, 2018 | 100% | |
| Krystal Balsamo | Operational/Managerial Control | Sep 29, 2021 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Healthmark Group LTD | Direct Ownership Interest | Aug 31, 2016 | 100% |
| Sheryl Blome | Operational/Managerial Control | Aug 26, 2024 | |
| Adp of the SNF | Aug 26, 2024 | ||
| Norma Stanbridge | Adp of the SNF | Mar 4, 2014 | |
| Laurence C Daspit | Operational/Managerial Control | Jun 1, 2014 | |
| Managing Control - Governing Body | Jun 14, 2014 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Indirect Ownership Interest | Jun 1, 2014 | 33% | |
| William W Dohn | Operational/Managerial Control | Mar 27, 2019 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Shelby Kendrick | Operational/Managerial Control | Jun 24, 2024 | |
| Adp of the SNF | Jun 24, 2024 | ||
| HMG Healthcare LLC | Indirect Ownership Interest | Jun 1, 2014 | 100% |
| Forvis Mazars LLP | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Christian Reinarz | Operational/Managerial Control | May 13, 2024 | |
| Adp of the SNF | May 13, 2024 | ||
| Cameron Petro-Sakur | Adp of the SNF | Dec 31, 2023 | |
| HM Group LLC | Adp of the SNF | Sep 25, 2025 | |
| Indirect Ownership Interest | Jun 1, 2014 | 1% | |
| Cibc Bank USA | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Kimberly Willingham | Operational/Managerial Control | Sep 17, 2018 | |
| Adp of the SNF | Sep 17, 2018 | ||
| HMG Park Manor of Salina LLC | Operational/Managerial Control | Jun 1, 2014 | |
| Direct Ownership Interest | Apr 1, 2018 | 100% | |
| Zions Bancorporation | Adp of the SNF | Apr 1, 2018 | |
| Derek L Prince | Operational/Managerial Control | Jun 1, 2014 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Indirect Ownership Interest | Jun 1, 2014 | 33% | |
| Courtney Lee | Operational/Managerial Control | Apr 23, 2024 | |
| Adp of the SNF | Apr 23, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 163
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Tanglewood Health & Rehabilitation
- Skilled Nursing Facility
- Topeka, KS
- NPI 1689851461
Cibc Bank USA, Forvis Mazars LLP
-
- Skilled Nursing Facility
- Newton, KS
- NPI 1003415415
Forvis Mazars LLP
-
dba springfield center for living and rehabilitation
- Skilled Nursing Facility
- Springfield, VT
- NPI 1093531873
Cibc Bank USA
-
dba st johnsbury center for living and rehabilitation
- Skilled Nursing Facility
- St Johnsbury, VT
- NPI 1528884301
Cibc Bank USA
-
dba rutland center for living and rehabilitation
- Skilled Nursing Facility
- Rutland, VT
- NPI 1235955014
Cibc Bank USA
-
- Skilled Nursing Facility
- Aberdeen, SD
- NPI 1467955682
Forvis Mazars LLP
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Forvis Mazars LLP
-
dba Lutheran Life Villages (Anthony)
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
dba adams Woodcrest
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Salina, KS
- NPI 1093248668
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003174814
Affiliated clinicians 2
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": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623628800000",
"number": "1306023189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 HUGHES LANDING BLVD STE 500",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773804009",
"telephone_number": "281-419-5520",
"fax_number": "281-419-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 JOHNSTOWN AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674013021",
"telephone_number": "785-823-7101",
"fax_number": "785-823-7631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HMG PARK MANOR OF SALINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A",
"authorized_official_last_name": "DASPIT",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "281-419-5520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N085006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200557040A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SMOKY HILL REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SMOKY HILL REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.