Active NPI
Medicalodges, Inc.
Doing business as Medicalodges Wichita
- Skilled Nursing Facility
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N087021
- Legal business name
- MEDICALODGES, INC.
- Doing business as
- Medicalodges Wichita
- Practice address
- 2280 S Minneapolis Ave
Wichita, KS 67211-5318 - Phone
- (316) 265-5693
- Fax
- (316) 265-3700
- NPI assigned
- Oct 9, 2006
- Last updated
- Jul 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cathy W Fisher
- Title
- V.P. of Financial Reporting
- Phone
- (620) 251-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N087021 | KS | Primary |
Addresses
Primary practice location
2280 S Minneapolis Ave
Wichita, KS 67211-5318
Mailing address
2280 S Minneapolis Ave
Wichita, KS 67211-5318
Phone (316) 265-5693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107330A | Medicaid | KS |
Other names 1
- Medicalodges Wichita
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030907000000 | KS | Part A Provider - Skilled Nursing Facility | 4688585979 | Practice locations: Wichita, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1841387008. Details of each certification follow.
Skilled nursing facility certification: CCN 175008
- Legal name
- MEDICALODGES INC
- Doing business as
- MEDICALODGES WICHITA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Feb 15, 2024
- Beds
- 55
- Ownership / control type
- Corporation
- Multi-facility organization
- Medicalodges INc
- Organization structure
- Corporation
- Incorporated
- Apr 19, 1976 in KS
- Enrollment address
- 2280 S Minneapolis Ave
Wichita, KS 67211-5318 - Nursing home name
- MEDICALODGES WICHITA
- Affiliated entity
- MEDICALODGES, INC.
Other NPIs with the same Medicare PAC ID 15
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Medicalodges Independence
- Skilled Nursing Facility
- Independence, KS
- NPI 1346678224
4688585979
-
dba Medicalodges Paola
- Skilled Nursing Facility
- Paola, KS
- NPI 1417045139
4688585979
-
dba Medicalodges Atchison
- Skilled Nursing Facility
- Atchison, KS
- NPI 1467549378
4688585979
-
dba Medicalodges Health Care Center Arkansas City
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1528156320
4688585979
-
dba Medicalodges Columbus
- Skilled Nursing Facility
- Columbus, KS
- NPI 1609963578
4688585979
-
dba Medicalodges Great Bend
- Skilled Nursing Facility
- Great Bend, KS
- NPI 1669967436
4688585979
-
dba Medicalodges Eudora
- Skilled Nursing Facility
- Eudora, KS
- NPI 1700067279
4688585979
-
dba Medicalodges Ft. Scott
- Skilled Nursing Facility
- Fort Scott, KS
- NPI 1720040744
4688585979
-
dba Medicalodges Kinsley
- Skilled Nursing Facility
- Kinsley, KS
- NPI 1730277690
4688585979
-
dba Medicalodges Leavenworth
- Skilled Nursing Facility
- Leavenworth, KS
- NPI 1942300215
4688585979
-
dba Medicalodges Frontenac
- Skilled Nursing Facility
- Frontenac, KS
- NPI 1992044184
4688585979
-
dba Medicalodges Butler
- Skilled Nursing Facility
- Butler, MO
- NPI 1437247053
4688585979
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Medicalodges Wichita
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 55
- Chain
- Medicalodges, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Medicalodges Inc
Other organizations with this tax ID 46
Organizations that report the same tax identification number in the National Provider Directory.
-
dba New Hope Services Valley Center
- Home Health Agency
- Valley Center, KS
- NPI 1083799613
-
- Skilled Nursing Facility
- Coffeyville, KS
- NPI 1255417614
-
dba Community Care Connections Ft. Scott
- Home Health Agency
- Fort Scott, KS
- NPI 1346330149
-
dba Medicalodges Independence
- Skilled Nursing Facility
- Independence, KS
- NPI 1346678224
-
dba Gran Villas Kansas City
- Adult Day Care Clinic/Center
- Fredonia, KS
- NPI 1407937352
Ownership & related parties
All disclosed owners & managing parties 30
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Catherine W Rohling McCord | Corporate Officer | Jun 9, 2000 | |
| Trustee of the SNF | Jun 9, 2000 | ||
| Ron Ott | Corporate Director | Sep 15, 2006 | |
| Kristyn Fisher | Corporate Officer | Mar 28, 2024 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Kathleen L Lantz | Corporate Officer | Oct 22, 2007 | |
| Travis I McBride | Corporate Officer | Nov 15, 2012 | |
| Lori a Waechter Harmon | Corporate Officer | Mar 26, 2019 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Richard Butler | Corporate Director | Jul 1, 2003 | |
| Lument Real Estate Capital LLC | 5% Or Greater Mortgage Interest | Jun 26, 2009 | 100% |
| William Bryan Dillon | Corporate Officer | Sep 12, 2022 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Carol Marshall | Corporate Director | Jul 27, 2006 | |
| Gayle M Doll | Corporate Director | Mar 10, 2005 | |
| Medicalodges Inc | 5% Or Greater Direct Ownership Interest | Apr 19, 1976 | 100% |
| Operational/Managerial Control | Apr 19, 1976 | ||
| Adp of the SNF | Jul 15, 2025 | ||
| Amber Schertz | Corporate Officer | Oct 5, 2023 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Bridget C Grover | Corporate Director | Jun 1, 2025 | |
| Rhody Burnett | Operational/Managerial Control | Jun 1, 2014 | |
| Adp of the SNF | Jul 2, 2025 | ||
| Samantha Listwan | Corporate Director | Jun 5, 2017 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Teresa Coover | Corporate Officer | Jul 7, 2016 | |
| Garen L Cox | Corporate Director | Feb 26, 1998 | |
| Trustee of the SNF | Jun 9, 2000 | ||
| Rodney K Bryant | Operational/Managerial Control | Oct 7, 2022 | |
| Adp of the SNF | Oct 7, 2022 | ||
| Elizabeth Kelly | Corporate Director | Mar 27, 2025 | |
| Scott L Hines | Corporate Officer | Mar 19, 2009 | |
| Corporate Director | Mar 19, 2009 | ||
| Trustee of the SNF | Mar 20, 2009 | ||
| Kevin Christmas | Corporate Officer | Mar 27, 2025 | |
| Shannon M Lager | Corporate Officer | Jun 15, 2013 | |
| Corporate Director | Jun 15, 2013 | ||
| ML-Re Wichita, LLC | Adp of the SNF | Jun 26, 2009 | |
| Jana Daniels | Corporate Officer | Mar 27, 2005 |
Owners & managing parties with NPI records 17
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1982654638
Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Independence
- Skilled Nursing Facility
- Independence, KS
- NPI 1346678224
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Paola
- Skilled Nursing Facility
- Paola, KS
- NPI 1417045139
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Atchison
- Skilled Nursing Facility
- Atchison, KS
- NPI 1467549378
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Health Care Center Arkansas City
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1528156320
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Columbus
- Skilled Nursing Facility
- Columbus, KS
- NPI 1609963578
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Great Bend
- Skilled Nursing Facility
- Great Bend, KS
- NPI 1669967436
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Eudora
- Skilled Nursing Facility
- Eudora, KS
- NPI 1700067279
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Ft. Scott
- Skilled Nursing Facility
- Fort Scott, KS
- NPI 1720040744
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Kinsley
- Skilled Nursing Facility
- Kinsley, KS
- NPI 1730277690
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Leavenworth
- Skilled Nursing Facility
- Leavenworth, KS
- NPI 1942300215
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 18
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medicalodges Dewey | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 1976 |
| Medicalodges Fort Scott | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 1976 |
| Medicalodges Arkansas City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 10, 2015 |
| Pharmerica | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 28, 2014 |
| Medicalodges Neosho | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 19, 1976 |
| Medicalodges Butler | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Medicalodges Kinsley | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 4, 1966 |
| Medicalodges Nevada | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Medicalodges Atchinson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 1966 |
| Cascade Health Services | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 19, 1976 Apr 19, 1976 Jul 16, 2025 |
| Medicalodges Paola | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jul 22, 2009 |
| Medicalodges Eudora | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2007 |
| Medicalodges Frontenac | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Mar 1, 2013 Mar 1, 2013 Dec 17, 2025 |
| Medicalodges Independence | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 19, 1976 Nov 1, 2013 |
| Medicalodges Great Bend | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 19, 1976 Aug 1, 2018 |
| Medicalodges Coffeyville on Midland | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Medicalodges Iola | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Medicalodges Goddard | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2025 Nov 14, 2025 |
Owned or controlled facilities with NPI records 18
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Medicalodges Independence
- Skilled Nursing Facility
- Independence, KS
- NPI 1346678224
5% Or Greater Direct Ownership Interest, Other
-
dba Medicalodges Paola
- Skilled Nursing Facility
- Paola, KS
- NPI 1417045139
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Atchison
- Skilled Nursing Facility
- Atchison, KS
- NPI 1467549378
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Health Care Center Arkansas City
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1528156320
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Columbus
- Skilled Nursing Facility
- Columbus, KS
- NPI 1609963578
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Great Bend
- Skilled Nursing Facility
- Great Bend, KS
- NPI 1669967436
5% Or Greater Direct Ownership Interest, Other
-
dba Medicalodges Eudora
- Skilled Nursing Facility
- Eudora, KS
- NPI 1700067279
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Ft. Scott
- Skilled Nursing Facility
- Fort Scott, KS
- NPI 1720040744
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Kinsley
- Skilled Nursing Facility
- Kinsley, KS
- NPI 1730277690
5% Or Greater Direct Ownership Interest
-
dba Medicalodges Leavenworth
- Skilled Nursing Facility
- Leavenworth, KS
- NPI 1942300215
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Medicalodges Frontenac
- Skilled Nursing Facility
- Frontenac, KS
- NPI 1992044184
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Coffeyville, KS
- NPI 1952041154
5% Or Greater Direct Ownership Interest
Facilities with the same owner 18
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Medicalodges Independence
- Skilled Nursing Facility
- Independence, KS
- NPI 1346678224
Medicalodges Inc
-
dba Medicalodges Paola
- Skilled Nursing Facility
- Paola, KS
- NPI 1417045139
Medicalodges Inc
-
dba Medicalodges Atchison
- Skilled Nursing Facility
- Atchison, KS
- NPI 1467549378
Medicalodges Inc
-
dba Medicalodges Health Care Center Arkansas City
- Skilled Nursing Facility
- Arkansas City, KS
- NPI 1528156320
Medicalodges Inc
-
dba Medicalodges Columbus
- Skilled Nursing Facility
- Columbus, KS
- NPI 1609963578
Medicalodges Inc
-
dba Medicalodges Great Bend
- Skilled Nursing Facility
- Great Bend, KS
- NPI 1669967436
Medicalodges Inc
-
dba Medicalodges Eudora
- Skilled Nursing Facility
- Eudora, KS
- NPI 1700067279
Medicalodges Inc
-
dba Medicalodges Ft. Scott
- Skilled Nursing Facility
- Fort Scott, KS
- NPI 1720040744
Medicalodges Inc
-
dba Medicalodges Kinsley
- Skilled Nursing Facility
- Kinsley, KS
- NPI 1730277690
Medicalodges Inc
-
dba Medicalodges Leavenworth
- Skilled Nursing Facility
- Leavenworth, KS
- NPI 1942300215
Medicalodges Inc
-
dba Medicalodges Frontenac
- Skilled Nursing Facility
- Frontenac, KS
- NPI 1992044184
Medicalodges Inc
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1982654638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1841387008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 S MINNEAPOLIS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672115318",
"telephone_number": "316-265-5693",
"fax_number": "316-265-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 S MINNEAPOLIS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672115318",
"telephone_number": "316-265-5693",
"fax_number": "316-265-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICALODGES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "V.P. OF FINANCIAL REPORTING",
"authorized_official_telephone_number": "620-251-6700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N087021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100107330A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicalodges Wichita",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.