Organization Active NPI

Villa Maria, Inc.

  • Skilled Nursing Facility
  • Mulvane, KS
National Provider Identifier
1366438657
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N096007 Issued in 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
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 MariaCCN 175456 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
6456.9 residents per day on average
Penalties (3 years)
1Fines totaling $22,081

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
17D0648305Villa Maria Inc116 S Central Avenue, Mulvane, KS 67110Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Villa Maria Inc2 organizations share this tax ID, including this one

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.

NameRoleSinceShare
Devon Hiebert Individual Corporate OfficerCoo May 15, 2025
Adp of the SNF May 15, 2025
Andrea Carter Individual Corporate OfficerActivities Director May 15, 2025
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 DirectorBoard Member May 15, 2025
Warren Oblinger Individual Corporate OfficerBoard Member May 15, 2025
Joni Girrens Individual Corporate OfficerDirector of Nursing May 15, 2025
Adp of the SNF May 15, 2025
Mary F Schumer Individual Corporate DirectorBoard Member May 15, 2025
Jennifer Sanders Individual Corporate OfficerDirector Admissions and Marketing May 15, 2025
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 DirectorSecretary/Treasurer May 15, 2025
Michael Burrus Individual Corporate DirectorBoard 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 DirectorBoard Member May 15, 2025
Melicia Hampel Individual Corporate DirectorBoard Member May 15, 2025
Wesley Etheredge Individual Corporate DirectorBoard Member May 15, 2025
Jonathan D Funk Individual Corporate OfficerHuman Resources Director May 15, 2025
Adp of the SNF May 15, 2025
Kevin M Strecker Individual Corporate DirectorBoard 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 OfficerSenior Director Dietary May 15, 2025
Adp of the SNF May 15, 2025
Patrick York Individual Corporate OfficerVice Chair May 15, 2025
Danielle Vega Individual Corporate OfficerDirector of Rehab May 15, 2025
Adp of the SNF May 15, 2025
Brian Campbell Individual Corporate DirectorBoard Chair May 15, 2025
Brenda Dehass Individual Corporate OfficerCfo May 15, 2025
Adp of the SNF May 15, 2025
Susan Pool Individual Corporate DirectorBoard Member May 15, 2025
Cynthia S Lafleur Individual Corporate OfficerCeo May 15, 2025
Corporate DirectorNon-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 DirectorBoard Member May 15, 2025
Micah Hinshaw Individual Corporate OfficerDirector of Maintenance May 15, 2025
Adp of the SNF May 15, 2025
George Guthrie Individual Corporate OfficerDirector of Plant Ops May 15, 2025
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 OfficerCno May 15, 2025
Adp of the SNF May 15, 2025
Dan H Tran Individual Corporate DirectorBoard 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
Adp of the SNF Jul 1, 2025
Tamara L McCue Individual Operational/Managerial Control May 1, 2020
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

Owners & managing parties with NPI records 5

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

Facilities with the same owner 1

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

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.

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

Verify at the official NPI Registry.