Active NPI
Larksfield Place Retirement Communities Inc
- Skilled Nursing Facility
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N-087-031
- Legal business name
- LARKSFIELD PLACE RETIREMENT COMMUNITIES INC
- Practice address
- 2828 N Governeour St
Wichita, KS 67226-1700 - Phone
- (316) 636-1000
- Fax
- (316) 636-5790
- NPI assigned
- Aug 25, 2006
- 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
- Michael Eugene Hambley
- Title
- Ceo
- Phone
- (316) 719-4748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N-087-031 | KS | Primary |
Addresses
Primary practice location
2828 N Governeour St
Wichita, KS 67226-1700
Mailing address
7373 E 29TH St N
Wichita, KS 67226-3405
Phone (316) 636-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042123301 | Medicaid | KS | |
| 100111920A | Other | KS | EDS |
Other names 1
- Wesley Retirement Communities, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100208000554 | KS | Part A Provider - Skilled Nursing Facility | 8123161544 | Practice locations: Wichita, KS |
Skilled nursing facility certification: CCN 175181
- Legal name
- LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC.
- Doing business as
- LARKSFIELD PLACE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 6, 1989
- Last certification
- Oct 9, 2024
- Beds
- 90 (80 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 10, 1984 in KS
- Enrollment address
- 2828 N Governeour St
Wichita, KS 67226-1700 - Nursing home name
- LARKSFIELD PLACE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Larksfield Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 6, 1989
- Medicare certification status
- Active
- Certified beds
- 80
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 |
|---|---|---|---|
| 17D0452111 | Health Care Center at Larksfield Place | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Kenneth Adamek | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Terrell Peel | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Jill Casado | Corporate Director | Aug 1, 2020 | |
| Corporate Director | Aug 1, 2020 | ||
| Dena Shaw | Corporate Officer | Nov 8, 2021 | |
| Corporate Officer | Nov 4, 2021 | ||
| Stephen M Dillard | Corporate Director | Apr 1, 2016 | |
| Corporate Director | Apr 1, 2016 | ||
| Connie Dietz | Corporate Director | Aug 1, 2020 | |
| Corporate Director | Aug 1, 2020 | ||
| Joaquin G Santos | Corporate Director | Oct 1, 2020 | |
| Corporate Director | Nov 28, 2018 | ||
| Patricia O'Sullivan | Corporate Director | May 1, 2016 | |
| Corporate Director | Jul 1, 2016 | ||
| Mary Herrin | Corporate Director | Feb 23, 2011 | |
| Corporate Director | Feb 23, 2011 | ||
| Stephen L Benson | Corporate Director | Feb 23, 2011 | |
| Corporate Director | Feb 23, 2011 | ||
| Virdena Gilkey | Corporate Director | May 19, 2021 | |
| Corporate Director | May 19, 2021 | ||
| Shannon M Braun | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Timothy Nikkel | Corporate Officer | Sep 23, 2009 | |
| Michael Hambley | Corporate Officer | Jun 1, 2020 | |
| Corporate Officer | Jun 1, 2020 | ||
| Louis J Medvene | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Erik D Hatten | Corporate Director | Aug 1, 2020 | |
| Corporate Director | Aug 1, 2020 | ||
| Larry Nanny | W-2 Managing Employee | Oct 1, 2021 | |
| Etaf Shaban | Corporate Director | May 19, 2021 | |
| Corporate Director | May 19, 2021 | ||
| Larksfield Place Retirement Communities, Inc. | Operational/Managerial Control | Dec 21, 2009 | |
| Sheree Utash | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| James Gustavson | Corporate Director | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Jenna Arrington | W-2 Managing Employee | Aug 11, 2021 | |
| Robert Cecil Blevins | Corporate Officer | Apr 8, 2022 | 100% |
| Corporate Director | Apr 8, 2022 | 100% | |
| Operational/Managerial Control | Apr 8, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Cognitive & Behavioral Psychologist
- Wichita, KS
- NPI 1316920473
Corporate Director
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1912148776
-
- Family Medicine Physician
- Wellington, KS
- NPI 1457339137
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": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1538277116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 E 29TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263405",
"telephone_number": "316-636-1000",
"fax_number": "316-636-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N GOVERNEOUR ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261700",
"telephone_number": "316-636-1000",
"fax_number": "316-636-5790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARKSFIELD PLACE RETIREMENT COMMUNITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "HAMBLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "316-719-4748"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N-087-031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1042123301",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS",
"identifier": "100111920A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wesley Retirement Communities, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Wesley Retirement Communities, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.