NPIMap

Organization Active NPI

Quaker Hill Nursing, LLC

Doing business as Quaker Hill Manor

  • Skilled Nursing Facility
  • Baxter Springs, KS
National Provider Identifier
1720086416
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N011006 Issued in KS
Legal business name
QUAKER HILL NURSING, LLC
Doing business as
Quaker Hill Manor
Practice address
8675 SE 72ND Ter
Baxter Springs, KS 66713-3186
Phone
(620) 848-3797
Fax
(620) 878-3017
NPI assigned
Jul 7, 2005
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mr. James Reiker
Title
Treasurer
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N011006 KS Primary

Addresses

Primary practice location

8675 SE 72ND Ter
Baxter Springs, KS 66713-3186

Mailing address

8675 SE 72ND Ter
Baxter Springs, KS 66713-3186
Phone (620) 848-3797

Other identifiers 1

IdentifierTypeStateIssuer
0100111580MedicaidKS

Other names 1

  • Quaker Hill Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030812000044 KS Part A Provider - Skilled Nursing Facility 9638080260 Practice locations: Baxter Springs, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720086416. Details of each certification follow.

Skilled nursing facility certification: CCN 175470

Legal name
QUAKER HILL NURSING, LLC
Doing business as
QUAKER HILL MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 11, 2003
Last certification
Feb 15, 2024
Beds
60 (53 certified)
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 1, 2002 in DE
Enrollment address
8675 SE 72ND Terrace
Baxter Springs, KS 66713-3186
Nursing home name
QUAKER HILL MANOR
Affiliated entity
AMERICARE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Quaker Hill ManorCCN 175470 · 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 - Limited Liability company
Certified
Jul 11, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5340.2 residents per day on average
Chain
Americare Senior Living23 facilities in the chain

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
17D0878029Quaker Hill8675 SE 72ND Terrace, Baxter Springs, KS 66713Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Richard Henley Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2003 50%
Kyle Schade Individual Corporate OfficerVice President Mar 1, 2021
James Edward Reiker Individual Corporate OfficerTreasurer Apr 2, 2002
Operational/Managerial Control Apr 1, 2000 100%
Americare Systems, Inc. Organization, Sikeston, MO For-profit Operational/Managerial Control Jan 1, 2001
Anna C Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 50%
Amy Bailey Individual W-2 Managing EmployeeAdministrator Jun 1, 2019 100%
R H Montgomery Properties, Inc Organization, Sikeston, MO For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 23

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

View all 23

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1720086416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 SE 72ND TER",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667133186",
            "telephone_number": "620-848-3797",
            "fax_number": "620-878-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 SE 72ND TER",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667133186",
            "telephone_number": "620-848-3797",
            "fax_number": "620-878-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKER HILL NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "573-471-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N011006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100111580",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quaker Hill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter Springs, KS

Sources for this page

Verify at the official NPI Registry.