3Rd St Healthcare LLC – Skilled Nursing Facility

Key facts

NPI: 1447934591
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: 3RD ST HEALTHCARE LLC
Practice address: 1501 SW 3Rd St
Lees Summit, MO 64081-2424
Phone: (816) 525-6300
NPI assigned: Jun 9, 2023
Organization subpart: No

Authorized official

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

Owners & managing parties with NPI records 1

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

Srinath Tadakamalla, M.D Geriatric Medicine (Family Medicine) Physician · Harrisonville, MO · NPI 1184691305

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 2

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

Brian Moore Haas, D.O Internal Medicine Physician · Kansas City, MO · NPI 1033352463

NPD (past)
Srinath Tadakamalla, M.D Geriatric Medicine (Family Medicine) Physician · Harrisonville, MO · NPI 1184691305

NPD (past)

Affiliated clinicians 1

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

Brian Moore Haas, D.O Internal Medicine Physician · Kansas City, MO · NPI 1033352463

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Lee'S Summit Place CCN 265512
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: Active (Provider of Services file)
Certified beds: 60 · 56.4 residents per day on average
Chain: Vertical Health Services (15 facilities)

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
26D0443150	3Rd Street Healthcare LLC Dba Lee'S Summit Place 1501 SW 3Rd Street, Lees Summit, MO 64081	Certificate of waiver	Jan 15, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO

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: LLC · Proprietary
Enrollment address: 1501 SW 3Rd St
Lees Summit, MO 64081-2424
Nursing home name: LEE'S SUMMIT PLACE
Affiliated entity: VERTICAL HEALTH SERVICES

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.

Name	Role	Since	Share
William Miller Individual	Operational/Managerial Control	Jun 1, 2023
William Miller Individual	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
Amy Renee Bax Individual	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
Srinath Tadakamalla Individual	Adp of the SNF	Mar 26, 2025

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230712003029	MO	Part a Provider - Skilled Nursing Facility	7810357670	Practice locations: Lees Summit, MO

National Provider Directory

Specialties & licenses

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

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

Lee's Summit Place Doing business as

Other providers in Lees Summit, MO

All providers in Lees Summit, MO · Skilled Nursing Facility in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. 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.