Organization Active NPI

Parkway Operator, LLC

  • Skilled Nursing Facility
  • Edwardsville, KS
National Provider Identifier
1770132763
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKWAY OPERATOR, LLC
Practice address
749 Blake St
Edwardsville, KS 66111-1338
Phone
(913) 422-5952
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Stuart Lindeman
Title
President and Ceo
Phone
(813) 280-1333

Specialties & licenses 1

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

Addresses

Primary practice location

749 Blake St
Edwardsville, KS 66111-1338

Mailing address

2907 W Bay to Bay Blvd Ste 303
Tampa, FL 33629-8187

Other identifiers 1

IdentifierTypeStateIssuer
N105010OtherKSKANSAS STATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029001986 KS Part A Provider - Skilled Nursing Facility 6103158944 Practice locations: Edwardsville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770132763. Details of each certification follow.

Skilled nursing facility certification: CCN 175229

Legal name
PARKWAY OPERATOR LLC
Doing business as
PARKWAY CARE AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1992
Last certification
Aug 7, 2024
Beds
45
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Mission
Most recent change of ownership
Oct 1, 2019
Organization structure
LLCProprietary
Incorporated
Jul 23, 2019 in FL
Enrollment address
749 Blake St
Edwardsville, KS 66111-1338
Nursing home name
PARKWAY OPERATOR LLC
Affiliated entity
MISSION HEALTH COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkway Operator LLCCCN 175229 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4541.4 residents per day on average
Chain
Mission Health Communities30 facilities in the chain
Penalties (3 years)
1Fines totaling $14,385

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
17D0448896Parkway Operator, LLC749 Blake Street, Edwardsville, KS 66111Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

749 Blake St
Kansas City, KS 66111
Phone (913) 422-5952

Ownership & related parties

All disclosed owners & managing parties 11

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 Operational/Managerial ControlPresident and Ceo Oct 1, 2019
Jamie Yoakum Individual Corporate OfficerCfo Mar 21, 2024
Operational/Managerial ControlCfo Mar 21, 2024
Barres, LLC Organization, Tampa, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%
Mich 16 Parkway LLC Organization, Brooklyn, NY Created for acquisition, LLC Other Apr 29, 2022
T and C Capital Assets, LLC Organization, Tampa, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%
Curis Holdings, LLC Organization, Tampa, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Parkway Operator LLC Organization, Tampa, FL LLC, For-profit Operational/Managerial Control Oct 1, 2019 100%
Coronado Operator, LLC Organization, Tampa, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Mission Health Communities, LLC Organization, Tampa, FL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2019 100%
Windward Health Partners LLC Organization, Tampa, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 90%
Tina Thomas Individual Operational/Managerial ControlSr VP Operations Oct 1, 2019

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 4

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": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1770132763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 W BAY TO BAY BLVD STE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 BLAKE ST",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111338",
            "telephone_number": "913-422-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-280-1333"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE NUMBER",
            "identifier": "N105010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, KS

Sources for this page

Verify at the official NPI Registry.