NPIMap

Organization Active NPI

Providence Opco, LLC

  • Skilled Nursing Facility
  • Topeka, KS
National Provider Identifier
1730950460
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROVIDENCE OPCO, LLC
Practice address
1112 SE Republican Ave
Topeka, KS 66607-1614
Phone
(785) 233-0588
NPI assigned
Jan 11, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Stuart Lindeman
Title
Authorized Official
Phone
(785) 233-0588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1112 SE Republican Ave
Topeka, KS 66607-1614

Mailing address

302 Knights Run Ave Ste 900
Tampa, FL 33602-5979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404002068 KS Part A Provider - Skilled Nursing Facility 6800234220 Practice locations: Topeka, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730950460. Details of each certification follow.

Skilled nursing facility certification: CCN 175418

Legal name
PROVIDENCE OPCO LLC
Doing business as
PROVIDENCE LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1997
Last certification
Feb 13, 2024
Beds
78
Ownership / control type
Corporation
Multi-facility organization
Mission Health
Organization structure
LLCProprietary
Enrollment address
1112 SE Republican Ave
Topeka, KS 66607-1614
Nursing home name
PROVIDENCE LIVING CENTER
Affiliated entity
MISSION HEALTH COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Providence Living CenterCCN 175418 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7868.0 residents per day on average
Chain
Mission Health Communities30 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $22,925

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Stuart D Lindeman Individual 5% Or Greater Indirect Ownership InterestCeo Feb 1, 2024 7%
Corporate OfficerCeo Feb 1, 2024
Barres, LLC Organization, Tampa, FL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 7%
Timothy L Heston Individual W-2 Managing EmployeeMD; Feb 1, 2024
Scott N Feuer Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 44%
Bryan L Crino Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 44%
Curis Holdings, LLC Organization, Tampa, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Operational/Managerial Control Feb 1, 2024
Windward Health Partners LLC Organization, Tampa, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 88.11%
Matthew Memmer Individual W-2 Managing EmployeeAd; Feb 1, 2024

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 38

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

View all 38

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1730950460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KNIGHTS RUN AVE STE 900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SE REPUBLICAN AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071614",
            "telephone_number": "785-233-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "785-233-0588"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.