NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Medicalodges Eudora

  • Skilled Nursing Facility
  • Eudora, KS
National Provider Identifier
1700067279
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N023003 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Medicalodges Eudora
Practice address
1415 Maple St
Eudora, KS 66025-9419
Phone
(785) 542-2176
Fax
(785) 542-2177
NPI assigned
Nov 26, 2007
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Scott L Hines
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N023003 KS Primary

Addresses

Primary practice location

1415 Maple St
Eudora, KS 66025-9419

Mailing address

1415 Maple St
Eudora, KS 66025-9419
Phone (785) 542-2176

Other identifiers 2

IdentifierTypeStateIssuer
N023003OtherKSADULT CARE HOME LICENSE
100107330IMedicaidKS

Other names 1

  • Medicalodges Eudora Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000203 KS Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Eudora, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700067279. Details of each certification follow.

Skilled nursing facility certification: CCN 175502

Legal name
MEDICALODGES INC
Doing business as
MEDICALODGES EUDORA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 16, 2008
Last certification
Aug 14, 2024
Beds
65
Ownership / control type
Corporation
Multi-facility organization
Medicalodges
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1976 in KS
Enrollment address
1415 Maple St
Eudora, KS 66025-9419
Nursing home name
MEDICALODGES EUDORA
Affiliated entity
MEDICALODGES, INC.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medicalodges EudoraCCN 175502 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 16, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6539.9 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain
Penalties (3 years)
2Fines totaling $29,802

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
17D0876730Medicalodges Eudora1415 Maple, Eudora, KS 66025Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

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
Catherine W Rohling McCord Individual Corporate OfficerVP/Financial Reporting Jun 9, 2000
Ron Ott Individual Corporate DirectorBoard Member Sep 15, 2006
Elaine a McDaniel Individual W-2 Managing EmployeeAdministrator Oct 1, 2015
Kathleen L Lantz Individual Corporate OfficerRegional VP Oct 22, 2007
Travis I McBride Individual Corporate OfficerRegional VP Nov 15, 2012
Lori a Waechter Harmon Individual Corporate OfficerVice President Revenue Apr 1, 2019
Richard Butler Individual Corporate DirectorChairman of the Board of Directo Jul 1, 2003
Pamela L Smith Individual Corporate OfficerVP of Compliance Jul 1, 2014
Staci Cardenas Individual Corporate OfficerRegional Director of Operations May 28, 2013
Carol Marshall Individual Corporate DirectorBoard Member Jul 26, 2006
Gayle M Doll Individual Corporate DirectorBoard Member Mar 10, 2005
Medicalodges Inc Organization, Coffeyville, KS Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2007 100%
Teresa Coover Individual Corporate OfficerVP of Clinical Services Jul 7, 2016
Garen L Cox Individual Corporate OfficerPresident/Ceo/General Counsel May 21, 1976
Corporate Director Feb 26, 1998
Scott L Hines Individual Corporate OfficerVP/Cfo Mar 20, 2009
Corporate Director Mar 20, 2009
Shannon M Lager Individual Corporate OfficerVP/Chief Clinical Officer Jun 15, 2013

Owners & managing parties with NPI records 15

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

  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Paola

    • Skilled Nursing Facility
    • Paola, KS
    • NPI 1417045139

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Health Care Center Arkansas City

    • Skilled Nursing Facility
    • Arkansas City, KS
    • NPI 1528156320

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Great Bend

    • Skilled Nursing Facility
    • Great Bend, KS
    • NPI 1669967436

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Ft. Scott

    • Skilled Nursing Facility
    • Fort Scott, KS
    • NPI 1720040744

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Leavenworth

    • Skilled Nursing Facility
    • Leavenworth, KS
    • NPI 1942300215

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Frontenac

    • Skilled Nursing Facility
    • Frontenac, KS
    • NPI 1992044184

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Butler

    • Skilled Nursing Facility
    • Butler, MO
    • NPI 1437247053

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 15

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medicalodges WichitaWichita, KS, CCN 175008 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 15, 2025
Medicalodges DeweyDewey, OK, CCN 375150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Fort ScottFort Scott, KS, CCN 175258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Arkansas CityArkansas City, KS, CCN 175313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2015
PharmericaColumbus, KS, CCN 175264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2014
Medicalodges NeoshoNeosho, MO, CCN 265266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges ButlerButler, MO, CCN 265564 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges KinsleyKinsley, KS, CCN 175275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 4, 1966
Medicalodges NevadaNevada, MO, CCN 265493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges AtchinsonAtchison, KS, CCN 175141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 1966
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 16, 2025
Medicalodges PaolaPaola, KS, CCN 175413 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 22, 2009
Medicalodges FrontenacFontenac, KS, CCN 175363 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2013
Mar 1, 2013
Dec 17, 2025
Medicalodges IndependenceIndependence, KS, CCN 175464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Nov 1, 2013
Medicalodges Great BendGreat Bend, KS, CCN 175522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Aug 1, 2018
Medicalodges Coffeyville on MidlandCoffeyville, KS, CCN 175290 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges IolaIola, KS, CCN 175226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges GoddardGoddard, KS, CCN 175294 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Nov 14, 2025

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Paola

    • Skilled Nursing Facility
    • Paola, KS
    • NPI 1417045139

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Health Care Center Arkansas City

    • Skilled Nursing Facility
    • Arkansas City, KS
    • NPI 1528156320

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Great Bend

    • Skilled Nursing Facility
    • Great Bend, KS
    • NPI 1669967436

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Ft. Scott

    • Skilled Nursing Facility
    • Fort Scott, KS
    • NPI 1720040744

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Leavenworth

    • Skilled Nursing Facility
    • Leavenworth, KS
    • NPI 1942300215

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Frontenac

    • Skilled Nursing Facility
    • Frontenac, KS
    • NPI 1992044184

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • ML-Op Coffeyville LLC
    • Skilled Nursing Facility
    • Coffeyville, KS
    • NPI 1952041154

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 18

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 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.

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1700067279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176",
            "fax_number": "785-542-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176",
            "fax_number": "785-542-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N023003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT CARE HOME LICENSE",
            "identifier": "N023003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107330I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Eudora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eudora, KS

Sources for this page

Verify at the official NPI Registry.