Recover-Care Wathena LLC
Organization Active NPI Skilled Nursing Facility · Wathena, KS
NPI 1821531690 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1821531690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- RECOVER-CARE WATHENA LLC
- Practice address
- 2112 Highway 36
Wathena, KS 66090-4126 - Phone
- (785) 989-3141
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Zisha Margulies
- Title
- Ceo
- Phone
- (718) 942-3483
Facilities with the same owner 19
Practitioners 1
-
Bradley Jay Gaul, M.D.
Affiliated clinicians 1
-
Bradley Jay Gaul, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Wathena Healthcare & Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 31, 1992
- Medicare certification status
- Active
- Certified beds
- 60 · 36.1 residents per day on average
- Chain
- Recover-Care Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Skilled nursing facility certification: CCN 175216
- Legal name
- RECOVER-CARE WATHENA LLC
- Doing business as
- WATHENA HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 31, 1992
- Last certification
- Sep 25, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2017
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2112 US-36
Wathena, KS 66090-4126 - Nursing home name
- WATHENA HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- RECOVER-CARE HEALTHCARE
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Wetr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.83% |
| Midwest Recover-Care LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 99.9% |
| Mad Family Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.83% |
| RNR Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.83% |
| Rarmna Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.84% |
| Kansas SNF Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 62.5% |
| Zisha Margulies |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 37.5% |
| Corporate Officer |
May 1, 2023 | 37.5% | |
| W-2 Managing Employee | May 1, 2023 | 37.5% | |
| Recover-Care Healthcare LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 37.5% |
| Ratr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.84% |
| Natr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20.83% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170523001890 | KS | Part a Provider - Skilled Nursing Facility | 1759668411 | Practice locations: Wathena, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2112 Highway 36
Wathena, KS 66090-4126
Mailing address
3009 Quentin Rd
2ND Floor
Brooklyn, NY 11234-4246
Other providers in Wathena, KS
- Holley Gibson
- Amy Marie Hartman
- Joan M. Nimtz
- Cynthia Lednicky
- Jennifer Olson
- Jennifer Schultz
- Jennifer Sharp
- Richaille Smith
- Wathena Healthcare and Rehabilitation Center, LLC
- Willow
All providers in Wathena, 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 17, 2023. 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.