Active NPI
HMG Park Manor of Westwood, LLC
Doing business as Tanglewood Health & Rehabilitation
- Skilled Nursing Facility
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N089019
- Legal business name
- HMG PARK MANOR OF WESTWOOD, LLC
- Doing business as
- Tanglewood Health & Rehabilitation
Westwood Manor - Practice address
- 5015 SW 28TH St
Topeka, KS 66614-2319 - Phone
- (785) 273-0886
- Fax
- (785) 273-0959
- NPI assigned
- Jan 24, 2008
- Last updated
- Jun 14, 2021
- 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
- Mr. Laurence C. Daspit
- Title
- Cfo
- Phone
- (281) 419-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N089019 | KS | Primary |
Addresses
Primary practice location
5015 SW 28TH St
Topeka, KS 66614-2319
Mailing address
1780 Hughes Landing Blvd Ste 500
The Woodlands, TX 77380-4009
Phone (281) 419-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200557040C | Medicaid | KS |
Other names 2
- TANGLEWOOD HEALTH & REHABILITATION
- WESTWOOD MANOR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140519000894 | KS | Part A Provider - Skilled Nursing Facility | 0244453363 | Practice locations: Topeka, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689851461. Details of each certification follow.
Skilled nursing facility certification: CCN 175463
- Legal name
- HMG PARK MANOR OF WESTWOOD LLC
- Doing business as
- TANGELWOOD HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 12, 2003
- Last certification
- Oct 17, 2024
- Beds
- 54
- Ownership / control type
- Corporation
- Multi-facility organization
- Health Mark Group
- Most recent change of ownership
- Nov 1, 2007
- Organization structure
- LLC
- Enrollment address
- 5015 SW 28TH St
Topeka, KS 66614-2319 - Nursing home name
- TANGLEWOOD NURSING & REHABILITATION
- Affiliated entity
- HMG HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tanglewood Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 12, 2003
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- HMG Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 17D0450413 | Tanglewood Health & Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| CCP Westwood Manor 7348 LLC | Adp of the SNF | Jun 1, 2014 | |
| Kenisha Gaut | Operational/Managerial Control | Sep 6, 2017 | |
| Adp of the SNF | Sep 6, 2017 | ||
| Roland Wayne Culp | 5% Or Greater Indirect Ownership Interest | Mar 4, 2014 | 33% |
| Operational/Managerial Control | Mar 4, 2014 | ||
| Adp of the SNF | Mar 4, 2014 | ||
| HMG Services LLC | Adp of the SNF | Apr 1, 2018 | |
| Krystal Balsamo | Operational/Managerial Control | Sep 29, 2021 | |
| Adp of the SNF | Sep 29, 2021 | ||
| Healthmark Group LTD | 5% Or Greater Direct Ownership Interest | Mar 4, 2014 | 100% |
| Operational/Managerial Control | Jun 1, 2014 | 100% | |
| Kendal Kappeler | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Sheryl Blome | Operational/Managerial Control | Aug 26, 2024 | |
| Adp of the SNF | Aug 26, 2024 | ||
| Norma Stanbridge | Adp of the SNF | Mar 4, 2014 | |
| Laurence C Daspit | 5% Or Greater Indirect Ownership Interest | Mar 4, 2014 | 33% |
| Operational/Managerial Control | Jun 1, 2014 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| William W Dohn | Operational/Managerial Control | Mar 27, 2019 | |
| Adp of the SNF | Mar 27, 2016 | ||
| Adp of the SNF | Feb 7, 2013 | ||
| HMG Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Mar 4, 2014 | 100% |
| Adp of the SNF | Nov 19, 2025 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Jan 24, 2018 | |
| Adp of the SNF | Feb 7, 2013 | ||
| Christian Reinarz | Operational/Managerial Control | May 13, 2024 | |
| Adp of the SNF | May 13, 2024 | ||
| Cibc Bank USA | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Zions Bancorporation | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| James V Rider | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 1, 2018 | ||
| Derek L Prince | 5% Or Greater Indirect Ownership Interest | Mar 4, 2014 | 33% |
| Operational/Managerial Control | Jun 1, 2014 | ||
| Adp of the SNF | Jun 1, 2014 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Winchester, KS
- NPI 1215968870
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 164
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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- Skilled Nursing Facility
- Salina, KS
- NPI 1306023189
Cibc Bank USA, Forvis Mazars LLP
-
- Skilled Nursing Facility
- Newton, KS
- NPI 1003415415
Forvis Mazars LLP
-
dba springfield center for living and rehabilitation
- Skilled Nursing Facility
- Springfield, VT
- NPI 1093531873
Cibc Bank USA
-
dba st johnsbury center for living and rehabilitation
- Skilled Nursing Facility
- St Johnsbury, VT
- NPI 1528884301
Cibc Bank USA
-
dba rutland center for living and rehabilitation
- Skilled Nursing Facility
- Rutland, VT
- NPI 1235955014
Cibc Bank USA
-
- Skilled Nursing Facility
- Aberdeen, SD
- NPI 1467955682
Forvis Mazars LLP
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Forvis Mazars LLP
-
dba Lutheran Life Villages (Anthony)
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
dba adams Woodcrest
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Tonganoxie, KS
- NPI 1881647543
-
- Geriatric Medicine (Family Medicine) Physician
- Winchester, KS
- NPI 1215968870
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Winchester, KS
- NPI 1215968870
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623628800000",
"number": "1689851461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 HUGHES LANDING BLVD STE 500",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773804009",
"telephone_number": "281-419-5520",
"fax_number": "281-419-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 SW 28TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142319",
"telephone_number": "785-273-0886",
"fax_number": "785-273-0959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HMG PARK MANOR OF WESTWOOD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A",
"authorized_official_last_name": "DASPIT",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "281-419-5520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N089019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200557040C",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TANGLEWOOD HEALTH & REHABILITATION",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WESTWOOD MANOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WESTWOOD MANOR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.