NPIMap

Organization Active NPI

Northland Rehabilitation & Health Care Center LLC

Doing business as Northland Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1356839203
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHLAND REHABILITATION & HEALTH CARE CENTER LLC
Doing business as
Northland Rehabilitation & Health Care Center
Practice address
4301 NE Parvin Rd
Kansas City, MO 64117-3001
Phone
(816) 444-0900
NPI assigned
Apr 26, 2018
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Joseph C Tutera
Title
Owner,Tutera Group Inc
Phone
(816) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4301 NE Parvin Rd
Kansas City, MO 64117-3001

Mailing address

4301 NE Parvin Rd
Kansas City, MO 64117-3001

Other names 1

  • NORTHLAND REHABILITATION & HEALTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180529000487 MO Part A Provider - Skilled Nursing Facility 1759646557 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356839203. Details of each certification follow.

Skilled nursing facility certification: CCN 265870

Legal name
NORTHLAND REHABILITATION & HEALTH CARE CENTER, LLC
Doing business as
NORTHLAND REHABILITATION & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 7, 2018
Last certification
Jun 28, 2024
Beds
118
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 18, 2017 in MO
Enrollment address
4301 NE Parvin Rd
Kansas City, MO 64117-3001
Nursing home name
NORTHLAND REHABILITATION & HEALTH CARE CENTER
Affiliated entity
TUTERA SENIOR LIVING & HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northland Rehabilitation & Health Care CenterCCN 265870 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 7, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
118100.6 residents per day on average
Chain
Tutera Senior Living & Health Care25 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Mary Margaret Cunningham 2009 Irrv TR Organization, Kansas City, MO 5% Or Greater Direct Ownership Interest Jan 18, 2017 14.3%
Tutera Group, Inc Organization, Kansas City, MO For-profit 5% Or Greater Direct Ownership Interest Jan 18, 2017 100%
Tutera Investments, LLC Organization, Kansas City, MO LLC, For-profit Other Aug 30, 2002 100%
Randall Bloom Individual Operational/Managerial ControlCoo Jan 18, 2017 70%
Constace Marie Mendolia 2009 Irrv TR Organization, Kansas City, MO 5% Or Greater Direct Ownership Interest Jan 18, 2017 14.3%
Joseph C Tutera Individual 5% Or Greater Direct Ownership Interest Jan 18, 2018 71.4%
Operational/Managerial Control Jan 18, 2017 100%
Kiley a Brooks Individual Corporate OfficerVP Accounting Jun 1, 2013 20%
Operational/Managerial Control Jan 18, 2017 70%
Walnut Creek Management Company LLC Organization, Kansas City, MO LLC, Management services company, For-profit Operational/Managerial Control Jan 18, 2017 100%

Facilities with the same owner 22

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

View all 22

Practitioners & 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.

Affiliated clinicians 3

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": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1356839203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NE PARVIN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641173001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NE PARVIN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641173001",
            "telephone_number": "816-444-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND REHABILITATION & HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER,TUTERA GROUP INC",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHLAND REHABILITATION & HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.