NPIMap

Organization Active NPI

Oak Prairie Healthcare, Inc.

  • Skilled Nursing Facility
  • Overland Park, KS
National Provider Identifier
1336995265
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAK PRAIRIE HEALTHCARE, INC.
Practice address
6501 W 75TH St
Overland Park, KS 66204-3017
Phone
(913) 383-9866
Fax
(913) 393-1629
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6501 W 75TH St
Overland Park, KS 66204-3017

Mailing address

6501 W 75TH St
Overland Park, KS 66204-3017
Phone (913) 383-9866

Other names 1

  • Aspen Health and Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217002697 KS Part A Provider - Skilled Nursing Facility 8921535881 Practice locations: Overland Park, KS

Skilled nursing facility certification: CCN 175187

Legal name
OAK PRAIRIE HEALTHCARE, INC.
Doing business as
ASPEN HEALTH AND WELLNESS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 24, 1989
Last certification
Oct 19, 2023
Beds
102
Ownership / control type
Corporation
Multi-facility organization
Gateway Healthcare Inc.
Organization structure
CorporationProprietary
Incorporated
Mar 22, 2024 in NV
Enrollment address
6501 W 75TH St
Overland Park, KS 66204-3017
Nursing home name
ASPEN HEALTH AND WELLNESS
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aspen Health and WellnessCCN 175187
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 24, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10279.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
15Fines totaling $92,612

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
17D0449122Aspen Health and Wellness6501 West 75TH Street, Overland Park, KS 66204Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Corwin Lewis Individual Corporate OfficerPresident Mar 22, 2024
Christopher B Geha Individual Adp of the SNF Jan 22, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Mar 22, 2024 100%
Ami Sato Individual Corporate OfficerTreasurer Sep 9, 2024
David Jorgensen Individual Corporate DirectorDirector Mar 22, 2024
Gateway Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 22, 2024 100%
Jacqueline Hollis Individual Operational/Managerial Control Nov 19, 2024
Adp of the SNF Jun 6, 2025
Craig Fitch Individual Corporate OfficerSecretary Mar 22, 2024
Soon Burnam Individual Corporate OfficerTreasurer Mar 22, 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 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1336995265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043017",
            "telephone_number": "913-383-9866",
            "fax_number": "913-393-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043017",
            "telephone_number": "913-383-9866",
            "fax_number": "913-393-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PRAIRIE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aspen Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.