NPIMap

Organization Active NPI

Wichita Medical Investors, LLC

Doing business as Life Care Center of Wichita

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1891742573
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N087045 Issued in KS
Legal business name
WICHITA MEDICAL INVESTORS, LLC
Doing business as
Life Care Center of Wichita
Practice address
622 N Edgemoor St
Wichita, KS 67208-3602
Phone
(316) 686-5100
Fax
(316) 686-3993
NPI assigned
May 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N087045 KS Primary

Addresses

Primary practice location

622 N Edgemoor St
Wichita, KS 67208-3602

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other names 1

  • Life Care Center of Wichita Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001025 KS Part A Provider - Skilled Nursing Facility 7214908714 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891742573. Details of each certification follow.

Skilled nursing facility certification: CCN 175407

Legal name
WICHITA MEDICAL INVESTORS, LLC
Doing business as
LIFE CARE CENTER OF WICHITA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 20, 1996
Last certification
Mar 24, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Life Care Centers of America
Most recent change of ownership
Oct 6, 2004
Organization structure
LLCProprietary
Enrollment address
622 N Edgemoor St
Wichita, KS 67208-3602
Nursing home name
LIFE CARE CENTER OF WICHITA
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of WichitaCCN 175407 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 20, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.5 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Life Care Center of Wichita2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

622 N Edgemoor St
Ofc
Wichita, KS 67208

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Feb 3, 1995 99%
Adp of the SNF Jan 18, 2005
Indirect Ownership Interest Feb 3, 1995 1%
Terry Henry Individual Corporate OfficerAsst Treasurer of Management Co. Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Oct 6, 2014
Direct Ownership Interest Feb 3, 1995 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Amber Eklund Individual Operational/Managerial Control Aug 16, 2024
Managing Control - Governing BodyDivisional Vice President Aug 16, 2024
Dedra Ellen Collins Individual Operational/Managerial Control Jul 5, 2023
Managing Control - Governing BodyDirector of Nursing Jul 5, 2023
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Management Co. Sep 22, 2000
Cindy S Cross Individual Corporate OfficerVP/Asst Secretary of Management Co. Apr 21, 1994
Richard Swanker Individual Corporate OfficerChief Tax Manager of Management Co Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Sep 12, 1996 100%
Adp of the SNF Feb 25, 2025
Mathew Stephenson Individual Operational/Managerial Control Jul 1, 2020
Managing Control - Governing BodyAdministrator Jul 1, 2020
Adp of the SNF Feb 25, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Jan 18, 2005
Lisa M Lay Individual Corporate OfficerSecretary of Management Company Feb 9, 2018
James Ziegler Individual Operational/Managerial Control Dec 13, 2024
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 26, 2019
Tyler M Buser Individual Operational/Managerial Control May 2, 2017
Adp of the SNF Feb 26, 2025

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 193

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

View all 193

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 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1891742573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083602",
            "telephone_number": "316-686-5100",
            "fax_number": "316-686-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.