Organization Active NPI

Reeds Cove Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1508123738
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REEDS COVE HEALTH AND REHABILITATION LLC
Practice address
10300 W Maple St
Wichita, KS 67209-3135
Phone
(316) 448-0850
Fax
(316) 448-0855
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Amber Harris
Title
Director of Accounts Receivable
Phone
(316) 448-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10300 W Maple St
Wichita, KS 67209-3135

Mailing address

7200 W 13TH St N
Suite 5
Wichita, KS 67212-2970
Phone (316) 773-1313

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.reedscovehealthandrehab.com/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000299 KS Part A Provider - Skilled Nursing Facility 8123276748 Practice locations: Wichita, KS

Skilled nursing facility certification: CCN 175532

Legal name
REEDS COVE HEALTH AND REHABILITATION LLC
Doing business as
AVITA HEALTH AND REHABILITATION AT REEDS COVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 15, 2013
Last certification
Aug 19, 2024
Beds
76
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 5, 2011 in KS
Enrollment address
2114 N 127TH St E
Wichita, KS 67206-3003
Nursing home name
AVITA HEALTH AND REHAB AT REEDS COVE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avita Health and Rehab at Reeds CoveCCN 175532
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 15, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7668.9 residents per day on average
Penalties (3 years)
1Fines totaling $8,827

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
17D2093596Reeds Cove Health & Rehabilitation, LLC2114 North 127TH CT East, Wichita, KS 67206Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

10300 W Maple St
Wichita, KS 67209
Phone (316) 448-0850

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Ann Ross Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 5.38%
Roger W Evans Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 5.65%
Chance C Becnel Individual Corporate Officer May 14, 2012
Brenda M Kruse Individual Operational/Managerial Control May 14, 2012
Matt Lillie Investments, Inc Organization, Wichita, KS LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2020 7.9%
Axiom Healthcare Services LLC Organization, Wichita, KS LLC, Management services company Operational/Managerial Control Oct 31, 2011 100%
Gregory F Lakin Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 10.97%
Matthew Lillie Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 7.9%
Axiom Healthcare Alliance, LLC Organization, Wichita, KS LLC, Holding company 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Axiom Consulting LLC Organization, Wichita, KS LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2020 8.76%
Wichita Wellness Inc Organization, Wichita, KS LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2020 10.97%
Frederick C Hermes Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 8.76%
Dennis L Ross Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 5.38%
Roger Evans Revocable Trust Organization, Benton, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2020 5.65%
Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1 Organization, Wichita, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2020 5.38%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

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

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": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1508123738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W 13TH ST N",
            "address_2": "SUITE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122970",
            "telephone_number": "316-773-1313",
            "fax_number": "316-295-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093135",
            "telephone_number": "316-448-0850",
            "fax_number": "316-448-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDS COVE HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "316-448-0858"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.reedscovehealthandrehab.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 W Maple St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672093135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.