Eureka Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Eureka, KS
NPI 1730354564 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1730354564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EUREKA NURSING, LLC
- Practice address
- 1020 N School St
Eureka, KS 67045-1106 - Phone
- (670) 583-7418
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
Authorized official
- Name
- James Reiker
- Title
- Manager
- Phone
- (573) 471-1113
Owners & managing parties with NPI records 1
Member of 1
Facilities with the same owner 23
Practitioners 1
-
Mark A Basham, MD
Affiliated clinicians 2
-
Mark A Basham, MD
-
Michael D McClintick, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Eureka Nursing Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 25, 1994
- Medicare certification status
- Active
- Certified beds
- 65 · 47.7 residents per day on average
- Chain
- Americare Senior Living
- Penalties (3 years)
- 3 · fines totaling $23,865
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0451026 | Eureka Nursing Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Skilled nursing facility certification: CCN 175287
- Legal name
- EUREKA NURSING, LLC
- Doing business as
- EUREKA NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 25, 1994
- Last certification
- Jul 11, 2024
- Beds
- 65
- Ownership / control type
- Corporation
- Multi-facility organization
- Americare Systems
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 7, 2008 in DE
- Enrollment address
- 1020 N School St
Eureka, KS 67045-1106 - Nursing home name
- EUREKA NURSING CENTER
- Affiliated entity
- AMERICARE SENIOR LIVING
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Clay Crosson |
Operational/Managerial Control | Apr 7, 2008 | |
| Richard Henley Montgomery |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
| Jolene Signhateh |
W-2 Managing Employee |
Jan 1, 2021 | |
| Kyle Schade |
Contracted Managing Employee |
Mar 1, 2021 | |
| Corporate Officer |
Mar 1, 2021 | ||
| James Edward Reiker |
Corporate Director | Jun 1, 2008 | |
| Americare Systems, Inc. |
Operational/Managerial Control | Jun 1, 2008 | |
| Anna C Montgomery |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
| R H Montgomery Properties, Inc |
5% Or Greater Direct Ownership Interest | Jun 1, 2008 | 100% |
| Steven P Hatlestad |
W-2 Managing Employee |
Nov 11, 2014 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080915000160 | KS | Part a Provider - Skilled Nursing Facility | 3375619430 | Practice locations: Eureka, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | KS | Yes |
Addresses
Primary practice location
1020 N School St
Eureka, KS 67045-1106
Mailing address
1020 N School St
Eureka, KS 67045-1106
Phone (670) 583-7418
Other providers in Eureka, KS
- Kyoungok Im Crouch
- Michael J Duffy
- Jennifer Eagleson
- Rebecca R Edson
- Margaret J Epperson
- Eureka Pharmacy Inc
- Eureka Usd 389
- Greenwood County Hospital
- Greenwood County Hospital
- Greenwood County Hospital
All providers in Eureka, KS · Skilled Nursing Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.