Villa Maria, Inc. – Skilled Nursing Facility

Key facts

NPI: 1366438657
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: N096007 (KS)
Legal business name: VILLA MARIA, INC.
Practice address: 116 S Central Ave
Mulvane, KS 67110-1718
Phone: (316) 777-1129
Fax: (316) 777-4406
NPI assigned: Sep 22, 2005
Organization subpart: No

Authorized official

Name: Ms. Rebecca R Murray
Title: Administrator
Phone: (316) 777-1129

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Aria Dental Care PC Dentist · Overland Park, KS · NPI 1942977632

CMS ownership ADP OF THE SNF
Catholic Care Center Inc Psychiatric Hospital · Bel Aire, KS · NPI 1033823414

CMS ownership OPERATIONAL/MANAGERIAL CONTROL
Catholic Care Center, Inc. Skilled Nursing Facility · Bel Aire, KS · NPI 1578566188

CMS ownership OPERATIONAL/MANAGERIAL CONTROL
Tamara L McCue, D.O. Family Medicine Physician · Wellington, KS · NPI 1457339137

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
Dan Tran, DO Family Medicine Physician · Wichita, KS · NPI 1689849622

CMS ownership CORPORATE DIRECTOR

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Maria Court Custodial Care Facility · Mulvane, KS · NPI 1225161359

NPPES parent name

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Maria Court Custodial Care Facility · Mulvane, KS · NPI 1225161359

NPD tax ID

Facilities with the same owner 1

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

Catholic Care Center Inc Psychiatric Hospital · Bel Aire, KS · NPI 1033823414

CMS ownership CATHOLIC CARE CENTER INC

Practitioners 3

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

Angelica Bretton, CPTA Physical Therapy Assistant · Andover, KS · NPI 1861942146

NPD
Tamara L McCue, D.O. Family Medicine Physician · Wellington, KS · NPI 1457339137

NPD (past)
Dan Tran, DO Family Medicine Physician · Wichita, KS · NPI 1689849622

NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Brian G Comer, D.O. Family Medicine Physician · Mulvane, KS · NPI 1538155205

Care Compare affiliation Nursing home
Tamara L McCue, D.O. Family Medicine Physician · Wellington, KS · NPI 1457339137

Care Compare affiliation Nursing home
Dan Tran, DO Family Medicine Physician · Wichita, KS · NPI 1689849622

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Villa Maria CCN 175456
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★★ 5 of 5
Staffing: ★★★☆☆ 3 of 5
Quality measures: ★★★★☆ 4 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Aug 1, 2002
Medicare certification status: Active (Provider of Services file)
Certified beds: 64 · 56.9 residents per day on average
Penalties (3 years): 1 · fines totaling $22,081

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
17D0648305	Villa Maria Inc 116 S Central Avenue, Mulvane, KS 67110	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS

Skilled nursing facility certification: CCN 175456

Legal name: VILLA MARIA INC
Doing business as: VILLA MARIA
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Aug 1, 2002
Last certification: Dec 17, 2024
Beds: 64
Ownership / control type: Nonprofit Corporation
Multi-facility organization: ASC Health
Organization structure: Corporation · Non-profit
Enrollment address: 116 S Central Ave
Mulvane, KS 67110-1718
Nursing home name: VILLA MARIA

All disclosed owners & managing parties 44

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
Devon Hiebert Individual	Corporate Officer Coo	May 15, 2025
Devon Hiebert Individual	Adp of the SNF	May 15, 2025
Andrea Carter Individual	Corporate Officer Activities Director	May 15, 2025
Andrea Carter Individual	Adp of the SNF	May 15, 2025
Teresa a. Unruh Organization · Newton, KS Consulting firm	Adp of the SNF	Jan 1, 1990
Jerald Lazar Individual	Corporate Director Board Member	May 15, 2025
Warren Oblinger Individual	Corporate Officer Board Member	May 15, 2025
Joni Girrens Individual	Corporate Officer Director of Nursing	May 15, 2025
Joni Girrens Individual	Adp of the SNF	May 15, 2025
Mary F Schumer Individual	Corporate Director Board Member	May 15, 2025
Jennifer Sanders Individual	Corporate Officer Director Admissions and Marketing	May 15, 2025
Jennifer Sanders Individual	Adp of the SNF	May 15, 2025
Auburn Pharmacy Inc Organization · Wichita, KS Corporation, Medical provider/supplier, For-profit	Adp of the SNF	Jul 1, 2025
Jadyn Rya Saunders Organization · Wichita, KS Consulting firm, For-profit	Adp of the SNF	Oct 1, 2024
Mark Hoffman Individual	Corporate Director Secretary/Treasurer	May 15, 2025
Michael Burrus Individual	Corporate Director Board Advisor	May 15, 2025
Felicia Woodrow Individual	Adp of the SNF	May 15, 2025
Ipc Healthcare Inc Organization · Oklahoma City, OK Corporation, Medical staffing company, For-profit	Operational/Managerial Control	May 1, 2020
	Adp of the SNF	Jan 28, 2026
Connor Meier Individual	Corporate Director Board Member	May 15, 2025
Melicia Hampel Individual	Corporate Director Board Member	May 15, 2025
Wesley Etheredge Individual	Corporate Director Board Member	May 15, 2025
Jonathan D Funk Individual	Corporate Officer Human Resources Director	May 15, 2025
Jonathan D Funk Individual	Adp of the SNF	May 15, 2025
Kevin M Strecker Individual	Corporate Director Board Member	May 15, 2025
Nationwide Mutual Insurance Company Organization · Wichita, KS Consulting firm, For-profit	Adp of the SNF	Jul 1, 2025
Shawn Meier-McFerren Individual	Corporate Officer Senior Director Dietary	May 15, 2025
Shawn Meier-McFerren Individual	Adp of the SNF	May 15, 2025
Patrick York Individual	Corporate Officer Vice Chair	May 15, 2025
Danielle Vega Individual	Corporate Officer Director of Rehab	May 15, 2025
Danielle Vega Individual	Adp of the SNF	May 15, 2025
Brian Campbell Individual	Corporate Director Board Chair	May 15, 2025
Brenda Dehass Individual	Corporate Officer Cfo	May 15, 2025
Brenda Dehass Individual	Adp of the SNF	May 15, 2025
Susan Pool Individual	Corporate Director Board Member	May 15, 2025
Cynthia S Lafleur Individual	Corporate Officer Ceo	May 15, 2025
	Corporate Director Non-Voting Board Member	May 15, 2025
	Adp of the SNF	May 15, 2025
Aria Dental Care PC Organization · Overland Park, KS Medical provider/supplier	Adp of the SNF	Jan 1, 2010
Jean Macias Individual	Corporate Director Board Member	May 15, 2025
Micah Hinshaw Individual	Corporate Officer Director of Maintenance	May 15, 2025
Micah Hinshaw Individual	Adp of the SNF	May 15, 2025
George Guthrie Individual	Corporate Officer Director of Plant Ops	May 15, 2025
George Guthrie Individual	Adp of the SNF	May 15, 2025
Health Technologies, Inc Organization · Saint Louis, MO Corporation, Consulting firm, For-profit	Adp of the SNF	Jul 1, 2025
Forvis Mazars LLP Organization · Wichita, KS Financial institution, For-profit	Adp of the SNF	Jan 1, 2010
Catholic Care Center Inc Organization · Bel Aire, KS Corporation, Non-profit	Operational/Managerial Control	Jul 1, 2025
Brenda Davis Individual	Corporate Officer Cno	May 15, 2025
Brenda Davis Individual	Adp of the SNF	May 15, 2025
Dan H Tran Individual	Corporate Director Board Member	May 15, 2025
Quality Rehab Management Organization · Addison, TX Consulting firm	Adp of the SNF	Jul 1, 2025
Angelica Bretton Individual	Operational/Managerial Control	May 15, 2025
Angelica Bretton Individual	Adp of the SNF	Jul 1, 2025
Tamara L McCue Individual	Operational/Managerial Control	May 1, 2020
Tamara L McCue Individual	Adp of the SNF	May 1, 2020
Arthur J Gallagher Risk Management Services Inc Organization · Wichita, KS Corporation, Consulting firm, For-profit	Adp of the SNF	Jul 1, 2025
Kansas State Bank Organization · Manhattan, KS Financial institution	Adp of the SNF	Jul 12, 2017
Bank of Ny Mellon Organization · New York, NY Corporation, Financial institution, For-profit	Adp of the SNF	Jul 1, 2025
Kendall Caudle Individual	Adp of the SNF	May 15, 2025
Dettwiller RCM Consulting, LLC Organization · Piketon, OH Consulting firm, For-profit	Adp of the SNF	Jul 1, 2025

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20021219000014	KS	Part a Provider - Skilled Nursing Facility	5395653489	Practice locations: Mulvane, KS

National Provider Directory

Tax ID family: Villa Maria Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	N096007	KS	Yes

Addresses

Primary practice location

116 S Central Ave
Mulvane, KS 67110-1718

Mailing address

116 S Central Ave
Mulvane, KS 67110-1718
Phone (316) 777-1129

Other identifiers

Identifier	Type	State	Issuer
100109490A	Medicaid	KS
N096007	Other	KS	STATE LICENSE NUMBER

Other providers in Mulvane, KS

All providers in Mulvane, KS · Skilled Nursing Facility in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.