Organization Active NPI

Kismet Sux LLC

Doing business as Embassy Rehab and Care Center

  • Skilled Nursing Facility
  • Sergeant Bluff, IA
National Provider Identifier
1457359200
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970471 Issued in IA
Legal business name
KISMET SUX LLC
Doing business as
Embassy Rehab and Care Center
Practice address
206 Port Neal Rd
Sergeant Bluff, IA 51054-8098
Phone
(712) 943-3837
NPI assigned
Jul 13, 2005
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Michael L. Moore
Title
Chief Financial Officer
Phone
(605) 642-7736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970471 IA Primary

Addresses

Primary practice location

206 Port Neal Rd
Sergeant Bluff, IA 51054-8098

Mailing address

600 S Franklin St
Elk Point, SD 57025-2144
Phone (605) 356-2622

Other identifiers 1

IdentifierTypeStateIssuer
1457359200MedicaidIA

Other names 1

  • Embassy Rehab and Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921000491 IA Part A Provider - Skilled Nursing Facility 5193076743 Practice locations: Sergeant Bluff, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457359200. Details of each certification follow.

Skilled nursing facility certification: CCN 165145

Legal name
KISMET SUX LLC
Doing business as
EMBASSY REHAB AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 28, 1988
Last certification
Jun 5, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Kismet
Organization structure
LLC
Enrollment address
206 Port Neal Rd
Sergeant Bluff, IA 51054-8098
Nursing home name
EMBASSY REHAB AND CARE CENTER
Affiliated entity
LANTIS ENTERPRISES

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Embassy Rehab and Care CenterCCN 165145 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 28, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6043.7 residents per day on average
Chain
Lantis Enterprises5 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
16D0648017Embassy Rehab and Care Center206 Port Neal Road, Sergeant Bluff, IA 51054Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael a Jennings Individual Operational/Managerial Control Sep 1, 2018
Adp of the SNF Sep 1, 2018
Billijean Moerman Individual Operational/Managerial Control Jan 16, 2023
Adp of the SNF Jan 16, 2023
Lantis Enterprises, Inc Organization, Spearfish, SD Corporation, Chain home office Operational/Managerial Control Sep 1, 2018
Sandra Leah Rinard Individual Managing Control - Governing Body Sep 1, 2018
Indirect Ownership Interest Sep 1, 2018 12%
Kismet Holdings LLC Organization, Spearfish, SD Created for acquisition, LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2018 100%
Kismet HD LLC Organization, Spearfish, SD Created for acquisition, LLC, Owned by another organization or individual Direct Ownership Interest Sep 1, 2018 100%
Mary Ellen Lantis Individual Operational/Managerial Control Sep 1, 2018
Managing Control - Governing Body Sep 1, 2018
Adp of the SNF Sep 1, 2018
Indirect Ownership Interest Sep 1, 2018 52%
Michael Leslie Moore Individual Managing Control - Governing Body Sep 1, 2018
Adp of the SNF Sep 1, 2018
Travis W Lantis Individual Indirect Ownership Interest Sep 1, 2018 12%
Wendy L Soulek Individual Operational/Managerial Control Sep 1, 2018
Managing Control - Governing Body Sep 1, 2018
Adp of the SNF Sep 1, 2018
Indirect Ownership Interest Sep 1, 2018 12%
Cammy S Lantis Individual Managing Control - Governing Body Sep 1, 2018
Adp of the SNF Sep 1, 2018
Indirect Ownership Interest Sep 1, 2018 12%
Organization, Spearfish, SD LLC Adp of the SNF Sep 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1457359200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S FRANKLIN ST",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "570252144",
            "telephone_number": "605-356-2622",
            "fax_number": "605-356-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PORT NEAL RD",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548098",
            "telephone_number": "712-943-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET SUX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "970471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457359200",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embassy Rehab and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sergeant Bluff, IA

Sources for this page

Verify at the official NPI Registry.