NPIMap

Organization Active NPI

Holton Health Care Center, L.L.C.

Doing business as Holton Health Care Center

  • Skilled Nursing Facility
  • Holton, KS
National Provider Identifier
1508676008
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOLTON HEALTH CARE CENTER, L.L.C.
Doing business as
Holton Health Care Center
Practice address
1121 W 7TH St
Holton, KS 66436-1123
Phone
(785) 328-4636
Fax
(785) 328-4637
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Richard J. Destefane
Title
President
Phone
(314) 422-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1121 W 7TH St
Holton, KS 66436-1123

Mailing address

1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3816

Other names 1

  • Holton Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403000202 KS Part A Provider - Skilled Nursing Facility 5799208443 Practice locations: Holton, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508676008. Details of each certification follow.

Skilled nursing facility certification: CCN 175435

Legal name
HOLTON HEALTH CARE CENTER LLC
Doing business as
HOLTON HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2007
Last certification
Jan 29, 2024
Beds
70 (45 certified)
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
1121 W 7TH St
Holton, KS 66436-1123
Nursing home name
HOLTON HEALTH CARE CENTER
Affiliated entity
RELIANT CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holton Health Care CenterCCN 175435 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4536.8 residents per day on average
Chain
Reliant Care Management34 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $206,328

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
RCG Inc Organization, Saint Louis, MO Corporation, Holding company, Owned by another organization or individual Indirect Ownership Interest Jan 25, 2025 0.01%
Richard J. Destefane Revocable Living Trust Organization, Saint Louis, MO 5% Or Greater Indirect Ownership Interest Jan 25, 2025 100%
Adp of the SNF Jan 25, 2025
Indirect Ownership Interest Jan 25, 2025 100%
Richard J Destefane Individual 5% Or Greater Indirect Ownership InterestPresident Jan 25, 2025 100%
Corporate OfficerPresident Jan 25, 2025 100%
Adp of the SNF Jan 25, 2025
Indirect Ownership Interest Jan 25, 2025 100%
Reliant Care Group LLC Organization, Saint Louis, MO LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 25, 2025 100%
Direct Ownership Interest Jan 25, 2025 100%
TLG II LLP Organization, Saint Louis, MO Holding company Adp of the SNF Jan 25, 2025
Reliant Care Management Company LLC Organization, Saint Louis, MO LLC, Management services company, Chain home office Operational/Managerial Control Jan 25, 2025
Adp of the SNF Feb 5, 2025
Holton Associates, L.L.C. Organization, Saint Louis, MO LLC Adp of the SNF Jan 25, 2025
Jennifer Bahr-Slocum Individual Operational/Managerial Control Jan 25, 2025
Adp of the SNF Jan 25, 2025
Jonathan L Manzer Individual Operational/Managerial Control Jan 25, 2025
Adp of the SNF Jan 25, 2025

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 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1508676008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3816",
            "fax_number": "314-226-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W 7TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361123",
            "telephone_number": "785-328-4636",
            "fax_number": "785-328-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTON HEALTH CARE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-422-7910"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holton Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.