Organization Active NPI

3Rd St Healthcare LLC

Doing business as Lee's Summit Place

  • Skilled Nursing Facility
  • Lee's Summit, MO
National Provider Identifier
1447934591
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
3RD ST HEALTHCARE LLC
Doing business as
Lee's Summit Place
Practice address
1501 SW 3Rd St
Lees Summit, MO 64081-2424
Phone
(816) 525-6300
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
William Miller
Title
Authorized Person
Phone
(253) 268-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1501 SW 3Rd St
Lees Summit, MO 64081-2424

Mailing address

11012 Canyon Rd E Ste 8
Puyallup, WA 98373-3002

Other names 1

  • Lee's Summit Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230712003029 MO Part A Provider - Skilled Nursing Facility 7810357670 Practice locations: Lees Summit, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447934591. Details of each certification follow.

Skilled nursing facility certification: CCN 265512

Legal name
3RD ST HEALTHCARE LLC
Doing business as
LEE'S SUMMIT PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 5, 1992
Last certification
Apr 7, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
VERTICAL HEALTH SERVICES
Most recent change of ownership
Jun 1, 2023
Organization structure
LLCProprietary
Enrollment address
1501 SW 3Rd St
Lees Summit, MO 64081-2424
Nursing home name
LEE'S SUMMIT PLACE
Affiliated entity
VERTICAL HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lee's Summit PlaceCCN 265512 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 5, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.4 residents per day on average
Chain
Vertical Health Services15 facilities in the chain

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
26D04431503Rd Street Healthcare LLC Dba Lee's Summit Place1501 SW 3Rd Street, Lees Summit, MO 64081Certificate of waiverJan 15, 2028

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
William Miller Individual Operational/Managerial Control Jun 1, 2023
Indirect Ownership Interest Jun 1, 2023 100%
VHS Ultimate Parent LLC Organization, Puyallup, WA LLC, Holding company, For-profit Indirect Ownership Interest Jun 1, 2023 100%
Vertical Health Services LLC Organization, Puyallup, WA LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2023 100%
3Rd St Consulting LLC Organization, Puyallup, WA LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2023
Adp of the SNF Mar 17, 2025
VHS Mo Opco Holdings LLC Organization, Puyallup, WA Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jun 1, 2023 100%
Amy Renee Bax Individual Operational/Managerial Control Mar 23, 2025
Adp of the SNF Oct 31, 2025
VHS Holdco LLC Organization, Puyallup, WA LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2023 100%
Srinath Tadakamalla Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Mar 26, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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 1

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": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1447934591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CANYON RD E STE 8",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812424",
            "telephone_number": "816-525-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RD ST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's Summit Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.