Active NPI
Villa Maria, Inc.
- Skilled Nursing Facility
- Mulvane, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N096007
- 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
- Last updated
- Mar 22, 2010
- 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
- Ms. Rebecca R Murray
- Title
- Administrator
- Phone
- (316) 777-1129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N096007 | KS | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021219000014 | KS | Part A Provider - Skilled Nursing Facility | 5395653489 | Practice locations: Mulvane, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366438657. Details of each certification follow.
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
- Enrollment address
- 116 S Central Ave
Mulvane, KS 67110-1718 - Nursing home name
- VILLA MARIA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Villa Maria
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 1, 2002
- Medicare certification status
- Active
- Certified beds
- 64
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 17D0648305 | Villa Maria Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Villa Maria Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
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 | Share |
|---|---|---|---|
| Devon Hiebert | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Andrea Carter | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Teresa a. Unruh | Adp of the SNF | Jan 1, 1990 | |
| Jerald Lazar | Corporate Director | May 15, 2025 | |
| Warren Oblinger | Corporate Officer | May 15, 2025 | |
| Joni Girrens | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Mary F Schumer | Corporate Director | May 15, 2025 | |
| Jennifer Sanders | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Auburn Pharmacy Inc | Adp of the SNF | Jul 1, 2025 | |
| Jadyn Rya Saunders | Adp of the SNF | Oct 1, 2024 | |
| Mark Hoffman | Corporate Director | May 15, 2025 | |
| Michael Burrus | Corporate Director | May 15, 2025 | |
| Felicia Woodrow | Adp of the SNF | May 15, 2025 | |
| Ipc Healthcare Inc | Operational/Managerial Control | May 1, 2020 | |
| Adp of the SNF | Jan 28, 2026 | ||
| Connor Meier | Corporate Director | May 15, 2025 | |
| Melicia Hampel | Corporate Director | May 15, 2025 | |
| Wesley Etheredge | Corporate Director | May 15, 2025 | |
| Jonathan D Funk | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Kevin M Strecker | Corporate Director | May 15, 2025 | |
| Nationwide Mutual Insurance Company | Adp of the SNF | Jul 1, 2025 | |
| Shawn Meier-McFerren | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Patrick York | Corporate Officer | May 15, 2025 | |
| Danielle Vega | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Brian Campbell | Corporate Director | May 15, 2025 | |
| Brenda Dehass | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Susan Pool | Corporate Director | May 15, 2025 | |
| Cynthia S Lafleur | Corporate Officer | May 15, 2025 | |
| Corporate Director | May 15, 2025 | ||
| Adp of the SNF | May 15, 2025 | ||
| Aria Dental Care PC | Adp of the SNF | Jan 1, 2010 | |
| Jean Macias | Corporate Director | May 15, 2025 | |
| Micah Hinshaw | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| George Guthrie | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Health Technologies, Inc | Adp of the SNF | Jul 1, 2025 | |
| Forvis Mazars LLP | Adp of the SNF | Jan 1, 2010 | |
| Catholic Care Center Inc | Operational/Managerial Control | Jul 1, 2025 | |
| Brenda Davis | Corporate Officer | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Dan H Tran | Corporate Director | May 15, 2025 | |
| Quality Rehab Management | Adp of the SNF | Jul 1, 2025 | |
| Angelica Bretton | Operational/Managerial Control | May 15, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Tamara L McCue | Operational/Managerial Control | May 1, 2020 | |
| Adp of the SNF | May 1, 2020 | ||
| Arthur J Gallagher Risk Management Services Inc | Adp of the SNF | Jul 1, 2025 | |
| Kansas State Bank | Adp of the SNF | Jul 12, 2017 | |
| Bank of Ny Mellon | Adp of the SNF | Jul 1, 2025 | |
| Kendall Caudle | Adp of the SNF | May 15, 2025 | |
| Dettwiller RCM Consulting, LLC | Adp of the SNF | Jul 1, 2025 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba St. Veronica Senior Behavioral Health Hospital
- Psychiatric Hospital
- Bel Aire, KS
- NPI 1033823414
Operational/Managerial Control
-
dba Catholic Care Center
- Skilled Nursing Facility
- Bel Aire, KS
- NPI 1578566188
Operational/Managerial Control
-
- Family Medicine Physician
- Wellington, KS
- NPI 1457339137
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba St. Veronica Senior Behavioral Health Hospital
- Psychiatric Hospital
- Bel Aire, KS
- NPI 1033823414
Catholic Care Center Inc
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.
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.
-
- Physical Therapy Assistant
- Andover, KS
- NPI 1861942146
-
- Family Medicine Physician
- Wellington, KS
- NPI 1457339137
-
- Family Medicine Physician
- Wichita, KS
- NPI 1689849622
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": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1366438657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S CENTRAL AVE",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101718",
"telephone_number": "316-777-1129",
"fax_number": "316-777-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S CENTRAL AVE",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101718",
"telephone_number": "316-777-1129",
"fax_number": "316-777-4406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA MARIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "316-777-1129",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N096007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mulvane, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.