NPIMap

Organization Active NPI

Golden Oaks Healthcare, Inc.

Doing business as The Healthcare Resort of Kansas City

  • Skilled Nursing Facility
  • Kansas City, KS
National Provider Identifier
1649656513
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GOLDEN OAKS HEALTHCARE, INC.
Doing business as
The Healthcare Resort of Kansas City
Practice address
8900 Parallel Pkwy
Kansas City, KS 66112-1637
Phone
(913) 788-2100
Fax
(913) 788-2101
NPI assigned
Aug 3, 2015
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 487-9500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X
Skilled Nursing Facility 314000000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8900 Parallel Pkwy
Kansas City, KS 66112-1637

Mailing address

8900 Parallel Pkwy
Kansas City, KS 66112-1637
Phone (913) 788-2100

Other names 2

  • The Healthcare Resort of Kansas City Doing business as
  • Wyandotte Wellness at The Healthcare Resort of Kansas City Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150911001940 KS Part A Provider - Skilled Nursing Facility 0547577215 Practice locations: Kansas City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649656513. Details of each certification follow.

Skilled nursing facility certification: CCN 175548

Legal name
GOLDEN OAKS HEALTHCARE, INC.
Doing business as
THE HEALTHCARE RESORT OF KANSAS CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 7, 2015
Last certification
Jul 10, 2024
Beds
105 (70 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Gateway Healthcare
Organization structure
CorporationProprietary
Enrollment address
8900 Parallel Pkwy
Kansas City, KS 66112-1637
Nursing home name
THE HEALTHCARE RESORT OF KANSAS CITY
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Healthcare Resort of Kansas CityCCN 175548 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 7, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7060.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $28,834

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
17D2099790Golden Oaks Healthcare, Inc8900 Parallel Pkwy, Kansas City, KS 66112Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Corwin Lewis Individual Corporate OfficerPresident Golden Oaks Healthcare Jun 1, 2021
Ryan Leiker Individual Operational/Managerial ControlAdministrator May 22, 2023 100%
Managing Control - Governing BodyAdministrator May 22, 2023
Adp of the SNF May 22, 2023
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2015 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 1, 2015
Ami Sato Individual Corporate OfficerTreasurer Golden Oaks Healthcare Sep 9, 2024
David Jorgensen Individual Corporate OfficerDirector Golden Oaks Healthcare Jan 1, 2024
Gateway Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jan 28, 2014 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Welltower Op, LLC Organization, Toledo, OH LLC Adp of the SNF Jan 29, 2014
Srinath Tadakamalla Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyMedical Director Feb 1, 2023
Adp of the SNF Feb 1, 2023
Soon Burnam Individual Corporate OfficerSecretary Golden Oaks Healthcare Jan 28, 2014

Owners & managing parties with NPI records 1

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

  • Srinath Tadakamalla, M.D
    • Geriatric Medicine (Family Medicine) Physician
    • Harrisonville, MO
    • NPI 1184691305

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 18

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

View all 18

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1649656513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121637",
            "telephone_number": "913-788-2100",
            "fax_number": "913-788-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121637",
            "telephone_number": "913-788-2100",
            "fax_number": "913-788-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAKS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-487-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Healthcare Resort of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyandotte Wellness at The Healthcare Resort of Kansas City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.