Wheatland Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Russell, KS
NPI 1790783496 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1790783496
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- N084003 (KS)
- Legal business name
- WHEATLAND NURSING, LLC
- Practice address
- 320 S Lincoln St
Russell, KS 67665-2910 - Phone
- (785) 483-5364
- Fax
- (785) 483-4981
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James Reiker
- Title
- Treasurer
- Phone
- (573) 471-1113
Owners & managing parties with NPI records 1
Member of 1
Facilities with the same owner 23
Practitioners 1
-
Tyrel K Somers, MD
Affiliated clinicians 7
-
Charles R Keener, MD
-
Jonathan Pike, M.D.
-
Jean Pringle, M.D.
-
Micca Schneider, MD
-
Tyrel K Somers, MD
-
Teri L Turkle-Huslig, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Wheatland Nursing & Rehabilitation Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 4, 1994
- Medicare certification status
- Active
- Certified beds
- 45 · 40.6 residents per day on average
- Chain
- Americare Senior Living
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0452989 | Wheatland Nursing Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Skilled nursing facility certification: CCN 175286
- Legal name
- WHEATLAND NURSING LLC
- Doing business as
- WHEATLAND NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 4, 1994
- Last certification
- Oct 30, 2023
- Beds
- 45
- Ownership / control type
- Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 2, 2002 in DE
- Enrollment address
- 320 S Lincoln St
Russell, KS 67665-2910 - Nursing home name
- WHEATLAND NURSING & REHABILITATION CENTER
- Affiliated entity
- AMERICARE SENIOR LIVING
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Clay Crosson |
Other |
Mar 7, 2013 | 100% |
| Richard Henley Montgomery |
5% Or Greater Indirect Ownership Interest | Aug 1, 1981 | 50% |
| Kyle Schade |
Corporate Officer |
Mar 1, 2021 | |
| Americare Systems, Inc. |
Operational/Managerial Control | Sep 13, 2011 | |
| Anna C Montgomery |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
| Michelle Crocker |
W-2 Managing Employee |
Jul 24, 2017 | 100% |
| R H Montgomery Properties, Inc |
5% Or Greater Direct Ownership Interest | Apr 1, 2002 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030116000024 | KS | Part a Provider - Skilled Nursing Facility | 2365350196 | Practice locations: Russell, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N084003 | KS | Yes |
Addresses
Primary practice location
320 S Lincoln St
Russell, KS 67665-2910
Mailing address
320 S Lincoln St
Russell, KS 67665-2910
Phone (785) 483-5364
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100111410 | Medicaid | KS |
Other names
- Wheatland Nursing & Rehab Center
Other providers in Russell, KS
- West Central Kansas Association, Inc.
- West Central Kansas Association, Inc.
- West Central Kansas Association, Inc.
- West Central Kansas Association, Inc.
- West Central Kansas Association, Inc.
- Arnold Dean Williams Jr.
- Kylie Williams
- Sara B Williams
- Swain M Williams
- Jake Windscheffel
All providers in Russell, 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 Jan 29, 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.