Tonganoxie Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TONGANOXIE OPCO LLC

Practice address

1010 East St
Tonganoxie, KS 66086-9557

Phone

(913) 369-8705

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

David Insel

Title

Authorized Member

Phone

(347) 477-3380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Skilled nursing facility certification: CCN 175215

Legal name

TONGANOXIE OPCO LLC

Doing business as

TONGANOXIE TERRACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1992

Last certification

Mar 20, 2024

Beds

90

Ownership / control type

Limited Liability Corporation

Multi-facility organization

COR Healthcare Partners

Organization structure

LLCProprietary

Incorporated

Apr 26, 2023 in KS

Enrollment address

1010 East St
Ste 940
Tonganoxie, KS 66086-9557

Nursing home name

TONGANOXIE TERRACE

Listed as

Tonganoxie TerraceCCN 175215

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9069.0 residents per day on average

Penalties (3 years)

3Fines totaling $47,317

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 4

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed M Madi, MD

  • Internal Medicine Physician
  • Leavenworth, KS
  • NPI 1316996994
  NPD (past)
• Mark Irwin Petersen, MD

  • Internal Medicine Physician
  • Tonganoxie, KS
  • NPI 1881647543
  NPD (past)
• Christina Cheng

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1194179747
  NPD (past)
• Sarah Elizabeth Hugo, M.D.

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1154587517
  NPD (past)
• Rhonda L Wallace, MD

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1154341782
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christina Cheng

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1194179747

  Nursing home

  Care Compare affiliation
• Sarah Elizabeth Hugo, M.D.

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1154587517

  Nursing home

  Care Compare affiliation
• Rhonda L Wallace, MD

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1154341782

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1750166336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EAST ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869557",
            "telephone_number": "913-369-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "INSEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "347-477-3380"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonganoxie Chiropractic Clinic
• Tonganoxie Eye Care LLC
• Tonganoxie Family Care
• Tonganoxie Management LLC
• Tonganoxie Nursing and Rehab LLC
• Wendy Trout
• Katherine Turner
• Unified School District No. 464
• Vintage Park at Tonganoxie, LLC
• Katelyn Marie Volk, O.D.

• All providers in Tonganoxie, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.