Osage Valley Healthcare LLC
Organization Active NPI Skilled Nursing Facility · De Soto, KS
NPI 1487411898 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1487411898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- OSAGE VALLEY HEALTHCARE LLC
- Practice address
- 33600 W 85TH St
De Soto, KS 66018-8118 - Phone
- (913) 583-1266
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 1
Practitioners 2
-
Cole R Spresser, M.D.
Affiliated clinicians 2
-
Cole R Spresser, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Hillside Village of de Soto Rehabilitation and Nur
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 28, 2003
- Medicare certification status
- Active
- Certified beds
- 49 · 44.0 residents per day on average
- Chain
- The Ensign Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Skilled nursing facility certification: CCN 175472
- Legal name
- OSAGE VALLEY HEALTHCARE LLC
- Doing business as
- HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 28, 2003
- Last certification
- Feb 20, 2024
- Beds
- 95 (49 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Osage Vally Healthcare LLC
- Organization structure
- LLC · Proprietary
- Enrollment address
- 33600 W 85TH St
De Soto, KS 66018-8118 - Nursing home name
- HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR
- Affiliated entity
- THE ENSIGN GROUP
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Standard Bearer Healthcare Op LP |
Adp of the SNF | May 1, 2024 | |
| Jessica N Lee |
Operational/Managerial Control | May 1, 2024 | |
| Managing Control - Governing Body |
May 1, 2024 | ||
| Adp of the SNF | Apr 9, 2026 | ||
| Ethan Dean |
Operational/Managerial Control | Aug 13, 2024 | |
| Managing Control - Governing Body |
Aug 13, 2024 | ||
| Adp of the SNF | Apr 9, 2026 | ||
| The Ensign Group Inc |
5% Or Greater Indirect Ownership Interest | Feb 26, 2024 | 100% |
| Adp of the SNF | May 1, 2024 | ||
| Ensign Services Inc |
Adp of the SNF | May 1, 2024 | |
| David Jorgensen |
Operational/Managerial Control | Feb 26, 2024 | |
| Gateway Healthcare LLC |
Direct Ownership Interest | Feb 26, 2024 | 100% |
| Chad Keetch |
Operational/Managerial Control | Feb 26, 2024 | |
| Abbot Health Holdings LLC |
Adp of the SNF | May 1, 2024 | |
| Soon Burnam |
Operational/Managerial Control | Feb 26, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240424000459 | KS | Part a Provider - Skilled Nursing Facility | 9032558010 | Practice locations: De Soto, KS |
National Provider Directory
- Tax ID family
- Esolutions Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
33600 W 85TH St
De Soto, KS 66018-8118
Mailing address
33600 W 85TH St
De Soto, KS 66018-8118
Phone (913) 583-1266
Other names
- Hillside Village of De Soto Rehabilitation and Nursing Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service | Other | eSolutions Inc. |
Other providers in De Soto, KS
- Great Expectations
- Jessica Greinke
- Stephanie Rose King
- Murdock Health and Wellness Inc
- Lori Ann Murdock
- Osage Valley Healthcare LLC
- Pathways and Partnerships, Inc.
- Laura J Peek
- Kandy Lynn Petersen
- Don Reith
All providers in De Soto, KS · Skilled Nursing Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. 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.