Organization Active NPI

Salem Hospital, Inc.

Doing business as Salem Home

  • Skilled Nursing Facility
  • Hillsboro, KS
National Provider Identifier
1710920764
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
H057002 Issued in KS
Legal business name
SALEM HOSPITAL, INC.
Doing business as
Salem Home
Practice address
704 S Ash St
Hillsboro, KS 67063-1506
Phone
(620) 947-2272
Fax
(620) 947-1465
NPI assigned
Jun 14, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Peter Muiruri Mungai
Title
Ceo
Phone
(620) 947-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X H057002 KS Primary

Addresses

Primary practice location

704 S Ash St
Hillsboro, KS 67063-1506

Mailing address

704 S Ash St
Hillsboro, KS 67063-1506
Phone (620) 947-2272

Other identifiers 1

IdentifierTypeStateIssuer
10010696AMedicaidKS

Other names 1

  • Salem Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050406001204 KS Part A Provider - Skilled Nursing Facility 8820991086 Practice locations: Hillsboro, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710920764. Details of each certification follow.

Skilled nursing facility certification: CCN 175484

Legal name
SALEM HOSPITAL, INC.
Doing business as
SALEM HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 5, 2005
Last certification
Aug 7, 2024
Beds
45
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
704 S Ash St
Hillsboro, KS 67063-1503
Nursing home name
SALEM HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Salem HomeCCN 175484 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Apr 5, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.5 residents per day on average

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
17D1090213Salem Home704 S Ash, Hillsboro, KS 67063Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hillsboro Community Medical Center2 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.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Individual Adp of the SNF Dec 30, 2024
Virgilene Weber Individual Operational/Managerial Control Dec 20, 2024
Michael Hamm Individual Operational/Managerial Control Dec 20, 2024
Michael F Reeh Individual Operational/Managerial Control Jan 13, 2025
Adp of the SNF Jan 13, 2025
Heather Crocker Individual Corporate OfficerChief Financial Officer Jul 31, 2016
Operational/Managerial Control Apr 10, 2016
Delayne Herbel Individual Corporate Director Nov 29, 2018
Individual Adp of the SNF Dec 20, 2024
Henry Wiebe Individual Corporate Director Nov 29, 2018
Lisa Donahue Individual Operational/Managerial Control Dec 20, 2024
Peter Mungai Individual Corporate OfficerChief Executive Officer Oct 1, 2016
Operational/Managerial Control Oct 1, 2016
Adp of the SNF Apr 10, 2025
Individual Adp of the SNF Dec 20, 2024
Angela Williams Individual Operational/Managerial Control Dec 20, 2024
Laura Ensey Individual Corporate DirectorSecretary Sep 30, 2021
Individual Adp of the SNF Dec 24, 2024
Thomas Koslowsky Individual Corporate DirectorVice-Chairman Sep 16, 2018
Jodie Hamm Individual Operational/Managerial Control Dec 20, 2024
Mary Lancaster Individual Corporate Director Jun 29, 2023
Jared Jost Individual Corporate DirectorChairman Aug 29, 2024
Angie Zaragoza Individual Operational/Managerial Control Dec 20, 2024
Salem Hospital, Inc. Organization Corporation, Non-profit Adp of the SNF Mar 15, 2021

Owners & managing parties with NPI records 1

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

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 4

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1710920764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S ASH ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631506",
            "telephone_number": "620-947-2272",
            "fax_number": "620-947-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S ASH ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631506",
            "telephone_number": "620-947-2272",
            "fax_number": "620-947-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "MUNGAI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MUIRURI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-947-1450"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "H057002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10010696A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, KS

Sources for this page

Verify at the official NPI Registry.