NPIMap

Organization Active NPI

Topeka SNF Healthcare LLC

  • Skilled Nursing Facility
  • Topeka, KS
National Provider Identifier
1619718673
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TOPEKA SNF HEALTHCARE LLC
Practice address
2515 SW Wanamaker Rd
Topeka, KS 66614-5269
Phone
(785) 271-6808
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Alicia Torres
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2515 SW Wanamaker Rd
Topeka, KS 66614-5269

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Brookfield Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240913002900 KS Part A Provider - Skilled Nursing Facility 8820538077 Practice locations: Topeka, KS

Skilled nursing facility certification: CCN 175172

Legal name
TOPEKA SNF HEALTHCARE LLC
Doing business as
BROOKEFIELD POST ACUTE
Certification status
Terminated Voluntary: merger or closure, Mar 7, 2025
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 27, 1988
Last certification
Nov 21, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Providence Administrative Consulting S
Most recent change of ownership
Aug 1, 2023
Organization structure
LLCProprietary
Enrollment address
2515 SW Wanamaker Rd
Topeka, KS 66614-5269

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
17D0680975Brookfield Post Acute2515 SW Wanamaker Rd, Topeka, KS 66614Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Providence Group Inc Organization, Farmington, UT Corporation, Holding company Adp of the SNF Jul 17, 2025
Individual Adp of the SNF Dec 1, 2018
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest May 20, 2024 35.2%
John T Mitchell Individual Operational/Managerial Control May 20, 2024
Managing Control - Governing BodySecretary May 20, 2024
Ruben Banda Individual Operational/Managerial Control Jul 15, 2024
Adp of the SNF Jul 17, 2025
Shyam K Akkulugari Individual Operational/Managerial Control Jul 15, 2024
Adp of the SNF Jul 17, 2025
Frederick G Apt Individual Operational/Managerial Control May 20, 2024
Managing Control - Governing BodyManager, Treasurer May 20, 2024
Topeka Realty Associates LLC Organization, Bronx, NY LLC Adp of the SNF Dec 1, 2018
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 20, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm Adp of the SNF Jul 15, 2024
Joshua O Jergensen Individual Operational/Managerial Control May 20, 2024
Managing Control - Governing BodyManager, President May 20, 2024
Individual Adp of the SNF Dec 1, 2018
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
Lauren Harper Individual Operational/Managerial Control Jan 1, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest May 20, 2024 35.2%

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 186

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

View all 186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1619718673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145269",
            "telephone_number": "785-271-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPEKA SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookfield Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookfield Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.