Active NPI
Presbyterian Manors, Inc.
Doing business as Manor of the Plains
- Skilled Nursing Facility
- Dodge City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N/A
- Legal business name
- PRESBYTERIAN MANORS, INC.
- Doing business as
- Manor of the Plains
- Practice address
- 200 Campus Dr
Dodge City, KS 67801-2760 - Phone
- (620) 225-1928
- Fax
- (620) 225-3982
- NPI assigned
- Sep 8, 2006
- Last updated
- Aug 18, 2008
- 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. William M Ward Jr.
- Title
- President/Ceo
- Phone
- (316) 685-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N/A | KS | Primary |
Addresses
Primary practice location
200 Campus Dr
Dodge City, KS 67801-2760
Mailing address
PO Box 20440
Wichita, KS 67208-1440
Phone (316) 685-1100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17D0648398 | Other | KS | CLIA |
| 100111810A | Medicaid | KS | |
| 100024040E | Other | KS | HCBS |
| 1001 | Other | KS | BLUE CROSS |
Other names 1
- Manor of the Plains
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000208 | KS | Part A Provider - Skilled Nursing Facility | 1254242639 | Practice locations: Dodge City, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346344660. Details of each certification follow.
Skilled nursing facility certification: CCN 175306
- Legal name
- PRESBYTERIAN MANORS INC
- Doing business as
- MANOR OF THE PLAINS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1994
- Last certification
- Sep 20, 2023
- Beds
- 70 (50 certified)
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Presbyterian manors of Mid America
- Organization structure
- Corporation
- Incorporated
- Dec 28, 1948 in KS
- Enrollment address
- 200 Campus Dr
Dodge City, KS 67801-2706 - Nursing home name
- MANOR OF THE PLAINS
- Affiliated entity
- PRESBYTERIAN MANORS OF MID-AMERICA
Other NPIs with the same Medicare PAC ID 13
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Wichita Presbyterian Manor
- Skilled Nursing Facility
- Wichita, KS
- NPI 1033213350
1254242639
-
dba Salina Presbyterian Manor
- Skilled Nursing Facility
- Salina, KS
- NPI 1063516383
1254242639
-
dba Parsons Presbyterian Manor
- Skilled Nursing Facility
- Parsons, KS
- NPI 1154425478
1254242639
-
dba Newton Presbyterian Manor
- Skilled Nursing Facility
- Newton, KS
- NPI 1255435574
1254242639
-
dba Aberdeen Village
- Skilled Nursing Facility
- Olathe, KS
- NPI 1316058373
1254242639
-
dba Lawrence Presbyterian Manor
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1619071933
1254242639
-
dba Emporia Presbyterian Manor
- Skilled Nursing Facility
- Emporia, KS
- NPI 1770686123
1254242639
-
dba Clay Center Presbyterian Manor
- Skilled Nursing Facility
- Clay Center, KS
- NPI 1861595217
1254242639
-
dba Topeka Presbyterian Manor
- Skilled Nursing Facility
- Topeka, KS
- NPI 1881798106
1254242639
-
dba Arkansas City Presbyterian Manor
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1952404303
1254242639
-
dba Farmington Presbyterian Manor
- Skilled Nursing Facility
- Farmington, MO
- NPI 1578674404
1254242639
-
dba Rolla Presbyterian Manor
- Skilled Nursing Facility
- Rolla, MO
- NPI 1861503302
1254242639
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Manor of the Plains
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- Presbyterian Manors of Mid-America
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0648398 | Manor of the Plains | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Presbyterian Manors Inc
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wichita Presbyterian Manor
- Skilled Nursing Facility
- Wichita, KS
- NPI 1033213350
-
dba Salina Presbyterian Manor
- Skilled Nursing Facility
- Salina, KS
- NPI 1063516383
-
dba Parsons Presbyterian Manor
- Skilled Nursing Facility
- Parsons, KS
- NPI 1154425478
-
dba Newton Presbyterian Manor
- Skilled Nursing Facility
- Newton, KS
- NPI 1255435574
-
dba Lawrence Presbyterian Manor
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1619071933
-
dba Emporia Presbyterian Manor
- Skilled Nursing Facility
- Emporia, KS
- NPI 1770686123
-
dba Fort Scott Presbyterian Village
- Assisted Living Facility
- Fort Scott, KS
- NPI 1851402275
-
dba Clay Center Presbyterian Manor
- Skilled Nursing Facility
- Clay Center, KS
- NPI 1861595217
-
dba Topeka Presbyterian Manor
- Skilled Nursing Facility
- Topeka, KS
- NPI 1881798106
-
dba Arkansas City Presbyterian Manor
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1952404303
-
dba Farmington Presbyterian Manor
- Skilled Nursing Facility
- Farmington, MO
- NPI 1578674404
Ownership & related parties
All disclosed owners & managing parties 17
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 |
|---|---|---|---|
| Eleanor a Nelson | Corporate Director | Jul 1, 2010 | |
| Aaron Morrison | Corporate Director | Jul 1, 2015 | |
| William Taylor | Corporate Officer | Jul 1, 2015 | |
| James Cook | Corporate Director | Jul 1, 2012 | |
| Presbyterian Manors of Mid-America Inc | Operational/Managerial Control | Jan 28, 2010 | |
| Presbyterian Manors Inc | 5% Or Greater Direct Ownership Interest | Mar 30, 1989 | 100% |
| Melanie Owens | Corporate Officer | Jul 10, 2017 | |
| Elizabeth McKell | Corporate Director | Jul 1, 2012 | |
| Ray Lyman Ott | Corporate Director | Sep 1, 2010 | |
| Richard Cumberland | Corporate Director | Jul 1, 2017 | |
| Joan M Miller | Corporate Officer | Sep 1, 1997 | |
| Randy Wedel | Corporate Director | Sep 1, 2010 | |
| Daniel F. Harris | Corporate Director | Jul 1, 2006 | |
| Sherry K Hind | Corporate Officer | Jul 1, 1989 | |
| Gary D Brennecke | Corporate Director | Jul 1, 2015 | |
| Jerry L Korbe | W-2 Managing Employee | Nov 15, 2012 | |
| Bruce H Shogren | Corporate Officer | Aug 5, 1996 |
Owners & managing parties with NPI records 13
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Wichita Presbyterian Manor
- Skilled Nursing Facility
- Wichita, KS
- NPI 1033213350
5% Or Greater Direct Ownership Interest
-
dba Salina Presbyterian Manor
- Skilled Nursing Facility
- Salina, KS
- NPI 1063516383
5% Or Greater Direct Ownership Interest
-
dba Parsons Presbyterian Manor
- Skilled Nursing Facility
- Parsons, KS
- NPI 1154425478
5% Or Greater Direct Ownership Interest
-
dba Newton Presbyterian Manor
- Skilled Nursing Facility
- Newton, KS
- NPI 1255435574
5% Or Greater Direct Ownership Interest
-
dba Aberdeen Village
- Skilled Nursing Facility
- Olathe, KS
- NPI 1316058373
5% Or Greater Direct Ownership Interest
-
dba Lawrence Presbyterian Manor
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1619071933
5% Or Greater Direct Ownership Interest
-
dba Emporia Presbyterian Manor
- Skilled Nursing Facility
- Emporia, KS
- NPI 1770686123
5% Or Greater Direct Ownership Interest
-
dba Clay Center Presbyterian Manor
- Skilled Nursing Facility
- Clay Center, KS
- NPI 1861595217
5% Or Greater Direct Ownership Interest
-
dba Topeka Presbyterian Manor
- Skilled Nursing Facility
- Topeka, KS
- NPI 1881798106
5% Or Greater Direct Ownership Interest
-
dba Arkansas City Presbyterian Manor
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1952404303
5% Or Greater Direct Ownership Interest
-
dba Farmington Presbyterian Manor
- Skilled Nursing Facility
- Farmington, MO
- NPI 1578674404
5% Or Greater Direct Ownership Interest
-
dba Rolla Presbyterian Manor
- Skilled Nursing Facility
- Rolla, MO
- NPI 1861503302
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Topeka Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Clay Center Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Emporia Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Newton Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Lawrence Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Rolla Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Farmington Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Parsons Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Arkansas City Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Wichita Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Salina Presbyterian Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1989 |
| Aberdeen Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Wichita Presbyterian Manor
- Skilled Nursing Facility
- Wichita, KS
- NPI 1033213350
5% Or Greater Direct Ownership Interest
-
dba Salina Presbyterian Manor
- Skilled Nursing Facility
- Salina, KS
- NPI 1063516383
5% Or Greater Direct Ownership Interest
-
dba Parsons Presbyterian Manor
- Skilled Nursing Facility
- Parsons, KS
- NPI 1154425478
5% Or Greater Direct Ownership Interest
-
dba Newton Presbyterian Manor
- Skilled Nursing Facility
- Newton, KS
- NPI 1255435574
5% Or Greater Direct Ownership Interest
-
dba Aberdeen Village
- Skilled Nursing Facility
- Olathe, KS
- NPI 1316058373
5% Or Greater Direct Ownership Interest
-
dba Lawrence Presbyterian Manor
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1619071933
5% Or Greater Direct Ownership Interest
-
dba Emporia Presbyterian Manor
- Skilled Nursing Facility
- Emporia, KS
- NPI 1770686123
5% Or Greater Direct Ownership Interest
-
dba Clay Center Presbyterian Manor
- Skilled Nursing Facility
- Clay Center, KS
- NPI 1861595217
5% Or Greater Direct Ownership Interest
-
dba Topeka Presbyterian Manor
- Skilled Nursing Facility
- Topeka, KS
- NPI 1881798106
5% Or Greater Direct Ownership Interest
-
dba Arkansas City Presbyterian Manor
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1952404303
5% Or Greater Direct Ownership Interest
-
dba Farmington Presbyterian Manor
- Skilled Nursing Facility
- Farmington, MO
- NPI 1578674404
5% Or Greater Direct Ownership Interest
-
dba Rolla Presbyterian Manor
- Skilled Nursing Facility
- Rolla, MO
- NPI 1861503302
5% Or Greater Direct Ownership Interest
Facilities with the same owner 14
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Wichita Presbyterian Manor
- Skilled Nursing Facility
- Wichita, KS
- NPI 1033213350
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Salina Presbyterian Manor
- Skilled Nursing Facility
- Salina, KS
- NPI 1063516383
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Parsons Presbyterian Manor
- Skilled Nursing Facility
- Parsons, KS
- NPI 1154425478
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Newton Presbyterian Manor
- Skilled Nursing Facility
- Newton, KS
- NPI 1255435574
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Aberdeen Village
- Skilled Nursing Facility
- Olathe, KS
- NPI 1316058373
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Lawrence Presbyterian Manor
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1619071933
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Emporia Presbyterian Manor
- Skilled Nursing Facility
- Emporia, KS
- NPI 1770686123
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Clay Center Presbyterian Manor
- Skilled Nursing Facility
- Clay Center, KS
- NPI 1861595217
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Topeka Presbyterian Manor
- Skilled Nursing Facility
- Topeka, KS
- NPI 1881798106
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Arkansas City Presbyterian Manor
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1952404303
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
-
dba Aberdeen Heights
- Skilled Nursing Facility
- Kirkwood, MO
- NPI 1750686531
Presbyterian Manors of Mid-America Inc
-
dba Farmington Presbyterian Manor
- Skilled Nursing Facility
- Farmington, MO
- NPI 1578674404
Presbyterian Manors Inc, Presbyterian Manors of Mid-America Inc
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.
-
- Internal Medicine Physician
- Garden City, KS
- NPI 1700393303
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Burlington, NC
- NPI 1114379534
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1346344660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20440",
"city": "WICHITA",
"state": "KS",
"postal_code": "672081440",
"telephone_number": "316-685-1100",
"fax_number": "316-685-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CAMPUS DR",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012760",
"telephone_number": "620-225-1928",
"fax_number": "620-225-3982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN MANORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "316-685-1100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "17D0648398",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100111810A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCBS",
"identifier": "100024040E",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1001",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Manor of the Plains",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.