NPIMap

Organization Active NPI

Wheatland Nursing, LLC

Doing business as Wheatland Nursing & Rehab Center

  • Skilled Nursing Facility
  • Russell, KS
National Provider Identifier
1790783496
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N084003 Issued in KS
Legal business name
WHEATLAND NURSING, LLC
Doing business as
Wheatland Nursing & Rehab Center
Practice address
320 S Lincoln St
Russell, KS 67665-2910
Phone
(785) 483-5364
Fax
(785) 483-4981
NPI assigned
Jul 7, 2005
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mr. James Reiker
Title
Treasurer
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N084003 KS Primary

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 1

IdentifierTypeStateIssuer
0100111410MedicaidKS

Other names 1

  • Wheatland Nursing & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030116000024 KS Part A Provider - Skilled Nursing Facility 2365350196 Practice locations: Russell, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790783496. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wheatland Nursing & Rehabilitation CenterCCN 175286 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
4540.6 residents per day on average
Chain
Americare Senior Living23 facilities in the chain

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
17D0452989Wheatland Nursing Center320 S Lincoln, Russell, KS 67665Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Clay Crosson Individual OtherChain Home Office Administrator Mar 7, 2013 100%
Richard Henley Montgomery Individual 5% Or Greater Indirect Ownership Interest Aug 1, 1981 50%
Kyle Schade Individual Corporate OfficerVice President Mar 1, 2021
Americare Systems, Inc. Organization, Sikeston, MO For-profit Operational/Managerial Control Sep 13, 2011
Anna C Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 50%
Michelle Crocker Individual W-2 Managing EmployeeAdministrator Jul 24, 2017 100%
R H Montgomery Properties, Inc Organization, Sikeston, MO 5% Or Greater Direct Ownership Interest Apr 1, 2002 100%

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 23

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

View all 23

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.

Affiliated clinicians 7

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1790783496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LINCOLN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652910",
            "telephone_number": "785-483-5364",
            "fax_number": "785-483-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S LINCOLN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652910",
            "telephone_number": "785-483-5364",
            "fax_number": "785-483-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATLAND NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "573-471-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N084003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100111410",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheatland Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.