BKD HCR Master Lease 3 Tenant LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BKD HCR MASTER LEASE 3 TENANT LLC

Doing business as

Brookdale Overland Park

Practice address

12000 Lamar Ave
Overland Park, KS 66209-2705

Phone

(913) 663-2888

Fax

(913) 981-2315

NPI assigned

Dec 1, 2008

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 2

Addresses

Other names 1

• Brookdale Overland Park Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679728919. Details of each certification follow.

• CCN 175517 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 175517

Legal name

BKD HCR MASTER LEASE 3 TENANT LLC

Doing business as

BROOKDALE OVERLAND PARK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 28, 2010

Last certification

Mar 6, 2024

Beds

189 (94 certified)

Ownership / control type

Corporation

Multi-facility organization

Brookdale Senior Living

Organization structure

LLCProprietary

Enrollment address

12000 Lamar Ave
Overland Park, KS 66209-2705

Nursing home name

BROOKDALE OVERLAND PARK

Affiliated entity

BROOKDALE SENIOR LIVING

Listed as

Brookdale Overland ParkCCN 175517 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 28, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9474.9 residents per day on average

Chain

Brookdale Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BKD HCR Master Lease 3 Tenant LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BKD HCR Master Lease 3 Tenant LLC

  dba Brookdale Green Hills Cumberland

  • Assisted Living Facility
  • Nashville, TN
  • NPI 1063103828
  NPD tax ID

All disclosed owners & managing parties 63

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

Owners & managing parties with NPI records 3

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

• Stephanie Marie Garcia, D.O.

  • Family Medicine Physician
  • Leawood, KS
  • NPI 1396974408

  Adp of the SNF

  CMS ownership
• Jeffrey Gerard Belisle, MD, MBA

  • Orthopaedic Surgery Physician
  • Usaf Academy, CO
  • NPI 1952625840

  Adp of the SNF

  CMS ownership
• William Cary, MD

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1548885486

  Adp of the SNF

  CMS ownership

Practitioners 3

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.

• Jeena Viji Eapen, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1023018926
  NPD (past)
• Stephanie Marie Garcia, D.O.

  • Family Medicine Physician
  • Leawood, KS
  • NPI 1396974408
  NPD (past)
• Cameron Lee Smith, D.O.

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1871731133
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Heather S Anderson, M.D.

  • Neurology Physician
  • Kansas City, KS
  • NPI 1902903586

  Nursing home

  Care Compare affiliation
• Jeena Viji Eapen, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1023018926

  Nursing home

  Care Compare affiliation
• Stephanie Marie Garcia, D.O.

  • Family Medicine Physician
  • Leawood, KS
  • NPI 1396974408

  Nursing home

  Care Compare affiliation
• Cameron Lee Smith, D.O.

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1871731133

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1679728919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 LAMAR AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092705",
            "telephone_number": "913-663-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 LAMAR AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092705",
            "telephone_number": "913-663-2888",
            "fax_number": "913-981-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD HCR MASTER LEASE 3 TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N046079",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liron Bittan, O.D.
• Samuel N. Bittel, AU.D.
• Ann Marcene Bizal, CCC-SLP
• Susan Kathleen Bjerg, R.D., L.D.
• Jennie Lin Bjorem, M.A., CCC-SLP
• BKD Personal Assistance Services LLC (Brookdale at Home Overland Park)
• Madison Black, APRN
• Melissa Black
• Jordin Blackwell
• Tiffany V Blackwell, NMT-FELLOW

• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.

Verify at the official NPI Registry.