Active NPI
3Rd St Healthcare LLC
Doing business as Lee's Summit Place
- Skilled Nursing Facility
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- 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
- William Miller
- Title
- Authorized Person
- Phone
- (253) 268-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 5, 1992
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Vertical Health Services
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 |
|---|---|---|---|
| 26D0443150 | 3Rd Street Healthcare LLC Dba Lee's Summit Place | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| William Miller | Operational/Managerial Control | Jun 1, 2023 | |
| Indirect Ownership Interest | Jun 1, 2023 | 100% | |
| VHS Ultimate Parent LLC | Indirect Ownership Interest | Jun 1, 2023 | 100% |
| Vertical Health Services LLC | Indirect Ownership Interest | Jun 1, 2023 | 100% |
| 3Rd St Consulting LLC | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Mar 17, 2025 | ||
| VHS Mo Opco Holdings LLC | Direct Ownership Interest | Jun 1, 2023 | 100% |
| Amy Renee Bax | Operational/Managerial Control | Mar 23, 2025 | |
| Adp of the SNF | Oct 31, 2025 | ||
| VHS Holdco LLC | Indirect Ownership Interest | Jun 1, 2023 | 100% |
| Srinath Tadakamalla | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Harrisonville, MO
- NPI 1184691305
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1033352463
-
- Geriatric Medicine (Family Medicine) Physician
- Harrisonville, MO
- NPI 1184691305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.