NPIMap

Organization Active NPI

Salina Windsor SNF Opco, LLC

  • Skilled Nursing Facility
  • Salina, KS
National Provider Identifier
1912376567
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SALINA WINDSOR SNF OPCO, LLC
Practice address
623 S 3Rd St
Salina, KS 67401-4104
Phone
(785) 825-6757
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Isaac Dole
Title
Manager
Phone
(773) 645-9246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

623 S 3Rd St
Salina, KS 67401-4104

Mailing address

2045 W Grand Ave Ste B-34572
Chicago, IL 60612-1576
Phone (773) 645-9246

Other names 1

  • Legacy at Salina Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151130001185 KS Part A Provider - Skilled Nursing Facility 2466752225 Practice locations: Salina, KS

Skilled nursing facility certification: CCN 175127

Legal name
SALINA WINDSOR SNF OPCO, LLC
Doing business as
LEGACY AT SALINA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1981
Last certification
Jan 8, 2024
Beds
45
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Birchwood Healthcare Partners
Organization structure
LLCProprietary
Enrollment address
623 S 3Rd St
Salina, KS 67401-4104
Nursing home name
LEGACY AT SALINA
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy at SalinaCCN 175127
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4537.9 residents per day on average
Chain
Campbell Street Services22 facilities in the chain
Penalties (3 years)
3Fines totaling $26,868

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
17D0452372Legacy at Salina623 S 3Rd, Salina, KS 67401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Isaac S Dole Individual Corporate OfficerManager Nov 1, 2015 100%
Operational/Managerial Control Nov 1, 2015
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 0.02%
Gregory S Seeger Individual Operational/Managerial ControlCoo of Chain Home Office Mar 1, 2022
Adp of the SNF Jan 16, 2025
KS Portfolio Master SNF Holdco, LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2015 100%
Adp of the SNF Nov 1, 2015
Direct Ownership Interest Nov 1, 2015 100%
Nkero Investments LTD LLP Organization, Chicago, IL Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 9.77%
Adp of the SNF Mar 1, 2020
John Adams Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 6.52%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 6.52%
Isidore Mendelovitz Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 16.29%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 16.29%
Vinay Tolia Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 5.7%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 5.7%
KS Portfolio Master Holdco, LLC Organization, Chicago, IL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2015 100%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 100%
Lori Lynn Rodriguez Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
KS Portfolio Investor, LLC Organization, Chicago, IL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2015 95%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 95%
Jordan Fishfeld Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 11.1%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 11.1%
Salina Windsor SNF Realco, LLC Organization, Chicago, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2015 100%
Adp of the SNF Nov 1, 2015
Campbell Street Services LLC Organization, Chicago, IL Management services company, For-profit, Chain home office Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 13, 2025
Sanjay Tolia Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 5.7%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 5.7%
Kirit K Tolia Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 6.52%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 6.52%
Bradley Ray Irvin Individual Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
KS Portfolio Sponsor, LLC Organization, Chicago, IL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2015 5%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 5%
Sameer Kero Individual 5% Or Greater Indirect Ownership InterestInvestor Nov 1, 2015 9.77%
Adp of the SNF Nov 1, 2015
Indirect Ownership Interest Nov 1, 2015 9.77%
KS Portfolio Manager, LLC Organization, Chicago, IL LLC, For-profit Operational/Managerial Control Nov 1, 2015

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 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1912376567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "773-645-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S 3RD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014104",
            "telephone_number": "785-825-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA WINDSOR SNF OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy at Salina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.