NPIMap

Organization Active NPI

Center at Waterfront LLC

Doing business as The Center at Waterfront

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1902308919
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTER AT WATERFRONT LLC
Doing business as
The Center at Waterfront
Practice address
1541 North Lindberg Circle
Wichita, KS 67206
Phone
(316) 358-6400
Fax
(316) 358-6490
NPI assigned
Mar 6, 2018
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Andrew Shearer
Title
Member
Phone
(303) 893-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1541 North Lindberg Circle
Wichita, KS 67206

Mailing address

1541 N Lindberg Cir
Wichita, KS 67206-6400
Phone (316) 358-6400

Other names 1

  • THE CENTER AT WATERFRONT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120002532 KS Part A Provider - Skilled Nursing Facility 0446504856 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902308919. Details of each certification follow.

Skilled nursing facility certification: CCN 175564

Legal name
CENTER AT WATERFRONT LLC
Doing business as
THE CENTER AT WATERFRONT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 2, 2019
Last certification
Mar 18, 2024
Beds
80
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
1541 N Lindberg Cir
Wichita, KS 67206-6400
Nursing home name
CENTER AT WATERFRONT LLC
Affiliated entity
VERITAS MANAGEMENT GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Center at Waterfront LLCCCN 175564 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 2, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8055.5 residents per day on average
Chain
Veritas Management Group13 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

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
17D2159919Center at Waterfront, LLC1541 North Lindberg Circe, Wichita, KS 67206Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Andrew Shearer Individual Corporate Officer Sep 6, 2018 50%
Operational/Managerial ControlBoard Manager Sep 6, 2018
Veritas Management Group LLC Organization, Colorado Springs, CO LLC Operational/Managerial Control Sep 6, 2018 100%
Individual Adp of the SNF Mar 24, 2026
Bradley R Dart Individual Corporate Officer Sep 6, 2018 50%
Operational/Managerial Control Sep 6, 2018
Individual Adp of the SNF Mar 24, 2026
Medexec Hexis, LLC Organization, Littleton, CO LLC Operational/Managerial Control Sep 6, 2018
Monte S. Murdock Individual Operational/Managerial ControlChief Financial Officer Sep 6, 2018 50%
Bartolome Esmas Individual Operational/Managerial ControlDirector of Operations Sep 6, 2018 50%
Kenneth Deline Individual 5% Or Greater Indirect Ownership Interest Sep 6, 2018 39%

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 11

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

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 2

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": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1902308919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N LINDBERG CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066400",
            "telephone_number": "316-358-6400",
            "fax_number": "316-358-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 NORTH LINDBERG CIRCLE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-358-6400",
            "fax_number": "316-358-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER AT WATERFRONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-893-0250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CENTER AT WATERFRONT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.