NPIMap

Organization Active NPI

Wheat State Manor, Inc

  • Skilled Nursing Facility
  • Whitewater, KS
National Provider Identifier
1780679498
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N008006 Issued in KS
Legal business name
WHEAT STATE MANOR, INC
Practice address
601 S Main St
Whitewater, KS 67154-9700
Phone
(316) 799-2181
Fax
(316) 799-2962
NPI assigned
Sep 19, 2005
Last updated
Apr 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. Michael E Smith
Title
Administrator
Phone
(316) 799-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N008006 KS Primary

Addresses

Primary practice location

601 S Main St
Whitewater, KS 67154-9700

Mailing address

601 S Main St
Whitewater, KS 67154-9700
Phone (316) 799-2181

Other identifiers 2

IdentifierTypeStateIssuer
100107400AMedicaidKS
001520OtherKSBCBSKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621000932 KS Part A Provider - Skilled Nursing Facility 5799720744 Practice locations: Whitewater, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780679498. Details of each certification follow.

Skilled nursing facility certification: CCN 175451

Legal name
WHEAT STATE MANOR, INC
Doing business as
WHEAT STATE MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2002
Last certification
Mar 11, 2024
Beds
65
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 3, 1971 in KS
Enrollment address
601 S Main St
Whitewater, KS 67154-9700
Nursing home name
WHEAT STATE MANOR
Affiliated entity
GRACE TEAM SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wheat State ManorCCN 175451 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6527.2 residents per day on average
Chain
Grace Team Services9 facilities in the chain
Penalties (3 years)
1Fines totaling $7,960

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
17D0451264Wheat State Manor Inc601 S Main, Whitewater, KS 67154Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jason Smith Individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 100%
OtherBoard of Directors Jan 1, 2014
Grace Team LLC Organization, Topeka, KS LLC Operational/Managerial Control Jul 1, 2021 100%
Madison Parker Individual Corporate Director Feb 9, 2022
W-2 Managing EmployeeAdministrator Feb 9, 2022 100%

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1780679498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "WHITEWATER",
            "state": "KS",
            "postal_code": "671549700",
            "telephone_number": "316-799-2181",
            "fax_number": "316-799-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "WHITEWATER",
            "state": "KS",
            "postal_code": "671549700",
            "telephone_number": "316-799-2181",
            "fax_number": "316-799-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT STATE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-799-2181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N008006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107400A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "001520",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, KS

Sources for this page

Verify at the official NPI Registry.