NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Medicalodges Leavenworth

  • Skilled Nursing Facility
  • Leavenworth, KS
National Provider Identifier
1942300215
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N052003 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Medicalodges Leavenworth
Practice address
1503 Ohio St
Leavenworth, KS 66048-2932
Phone
(913) 772-1844
Fax
(913) 772-1968
NPI assigned
Sep 25, 2006
Last updated
May 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mr. Scott L Hines
Title
Chief Financial Officer
Phone
(620) 709-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N052003 KS Primary

Addresses

Primary practice location

1503 Ohio St
Leavenworth, KS 66048-2932

Mailing address

1503 Ohio St
Leavenworth, KS 66048-2932
Phone (913) 772-1844

Other identifiers 1

IdentifierTypeStateIssuer
100107880AMedicaidKS

Other names 1

  • Medicalodges Leavenworth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001244 KS Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Leavenworth, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942300215. Details of each certification follow.

Skilled nursing facility certification: CCN 175162

Legal name
MEDICALODGES INC
Doing business as
CASCADE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 4, 1987
Last certification
Sep 25, 2024
Beds
45
Ownership / control type
Corporation
Multi-facility organization
Medicalodges Inc.
Organization structure
CorporationProprietary
Enrollment address
1503 Ohio St
Leavenworth, KS 66048-2932
Nursing home name
MEDICALODGES LEAVENWORTH
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).

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medicalodges LeavenworthCCN 175162 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 4, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4529.0 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Ownership & related parties

All disclosed owners & managing parties 41

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

NameRoleSinceShare
Catherine W Rohling McCord Individual Corporate OfficerVP Financial Reporting Jun 9, 2000
Trustee of the SNF Jun 9, 2000
Ron Ott Individual Corporate DirectorBoard Member Sep 15, 2006
Organization, Wichita, KS LLC, Medical staffing company Adp of the SNF Jul 16, 2025
Kristyn Fisher Individual Corporate OfficerAssistant Secretary Mar 28, 2024
Organization, Overland Park, KS LLC, Medical staffing company Adp of the SNF Jul 16, 2025
Kathleen L Lantz Individual Corporate OfficerVP of Employee Engagement Nov 1, 2013
Travis I McBride Individual Corporate OfficerRegional VP Nov 15, 2012
Individual Adp of the SNF Jan 1, 2000
Individual Adp of the SNF May 1, 2025
Lori a Waechter Harmon Individual Corporate OfficerVice President Revenue Management Sep 3, 2015
Richard Butler Individual Corporate DirectorChairman of the Board of Direct Jul 1, 2003
Organization, Kansas City, MO LLC, Medical staffing company Adp of the SNF Oct 13, 2025
Individual Adp of the SNF Jan 1, 2000
Individual Adp of the SNF Jan 1, 2000
William Bryan Dillon Individual Corporate OfficerRegional Vice President Sep 12, 2022
Carol Marshall Individual Corporate DirectorBoard Member Jul 27, 2006
Gayle M Doll Individual Corporate DirectorBoard Member Oct 21, 2009
Individual Adp of the SNF Apr 3, 2025
Medicalodges Inc Organization, Coffeyville, KS Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 19, 1976 100%
Operational/Managerial Control Apr 19, 1976
Adp of the SNF Jul 16, 2025
Amber Schertz Individual Corporate OfficerRegional Vice President Oct 5, 2023
Bridget C Grover Individual Corporate DirectorBoard Member Jun 1, 2025
Scott F Avery Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 3, 2025
Organization, Murfreesboro, TN Corporation, Medical provider/supplier Adp of the SNF Jul 16, 2025
Individual Adp of the SNF Jan 1, 2000
Samantha Listwan Individual Corporate OfficerRegional Vice President Jun 5, 2017
Teresa Coover Individual Corporate OfficerCco/VP Jul 7, 2016
Organization, Prairie Village, KS Corporation Adp of the SNF Jul 16, 2025
Garen L Cox Individual Corporate DirectorBoard Member Feb 26, 1998
Trustee of the SNF Feb 26, 1998
Elizabeth Kelly Individual Corporate OfficerVP and General Counsel Mar 27, 2025
Scott L Hines Individual Corporate OfficerPresident/Ceo Mar 20, 2009
Corporate DirectorPresident/Ceo Mar 19, 2009
Operational/Managerial Control Mar 19, 2009
Trustee of the SNF Jun 9, 2000
Organization, Lenexa, KS Corporation Adp of the SNF Jul 16, 2025
Individual Adp of the SNF Apr 3, 2025
Individual Adp of the SNF May 1, 2025
Patrick Burke Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Kevin Christmas Individual Corporate OfficerVP and Director of Construction Mar 27, 2025
Shannon M Lager Individual Corporate OfficerChief Operations Officer Jun 15, 2013
Corporate DirectorVice President Mar 23, 2018
Blue Hair Health Care Organization, Lenexa, KS Corporation, Medical provider/supplier Operational/Managerial Control Apr 29, 2025
Adp of the SNF Dec 1, 2025
Organization, Elkhorn, NE LLC, Medical staffing company Adp of the SNF Jul 16, 2025
Individual Adp of the SNF Oct 7, 2022
Individual Adp of the SNF Jan 1, 2000
Jana Daniels Individual Corporate OfficerVP and Director of Human Resources Mar 27, 2025

Owners & managing parties with NPI records 18

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

  • Scott F. Avery, D.O.
    • Family Medicine Physician
    • Junction City, KS
    • NPI 1427230069

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Bridget C. Grover, PA-C
    • Physician Assistant
    • Wichita, KS
    • NPI 1851595201

    Corporate Director

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Paola

    • Skilled Nursing Facility
    • Paola, KS
    • NPI 1417045139

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    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

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    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

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Eudora

    • Skilled Nursing Facility
    • Eudora, KS
    • NPI 1700067279

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    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

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
View all 18

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medicalodges WichitaWichita, KS, CCN 175008 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 15, 2025
Medicalodges DeweyDewey, OK, CCN 375150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Fort ScottFort Scott, KS, CCN 175258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Arkansas CityArkansas City, KS, CCN 175313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2015
PharmericaColumbus, KS, CCN 175264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2014
Medicalodges NeoshoNeosho, MO, CCN 265266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges ButlerButler, MO, CCN 265564 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges KinsleyKinsley, KS, CCN 175275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 4, 1966
Medicalodges NevadaNevada, MO, CCN 265493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges AtchinsonAtchison, KS, CCN 175141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 1966
Medicalodges PaolaPaola, KS, CCN 175413 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 22, 2009
Medicalodges EudoraEudora, KS, CCN 175502 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2007
Medicalodges FrontenacFontenac, KS, CCN 175363 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 IndependenceIndependence, KS, CCN 175464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Nov 1, 2013
Medicalodges Great BendGreat Bend, KS, CCN 175522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Aug 1, 2018
Medicalodges Coffeyville on MidlandCoffeyville, KS, CCN 175290 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges IolaIola, KS, CCN 175226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges GoddardGoddard, KS, CCN 175294 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.

  • Medicalodges, Inc.

    dba Medicalodges Independence

    • Skilled Nursing Facility
    • Independence, KS
    • NPI 1346678224

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Paola

    • Skilled Nursing Facility
    • Paola, KS
    • NPI 1417045139

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Atchison

    • Skilled Nursing Facility
    • Atchison, KS
    • NPI 1467549378

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Health Care Center Arkansas City

    • Skilled Nursing Facility
    • Arkansas City, KS
    • NPI 1528156320

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Columbus

    • Skilled Nursing Facility
    • Columbus, KS
    • NPI 1609963578

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Great Bend

    • Skilled Nursing Facility
    • Great Bend, KS
    • NPI 1669967436

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Eudora

    • Skilled Nursing Facility
    • Eudora, KS
    • NPI 1700067279

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Ft. Scott

    • Skilled Nursing Facility
    • Fort Scott, KS
    • NPI 1720040744

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Kinsley

    • Skilled Nursing Facility
    • Kinsley, KS
    • NPI 1730277690

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Wichita

    • Skilled Nursing Facility
    • Wichita, KS
    • NPI 1841387008

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Medicalodges, Inc.

    dba Medicalodges Frontenac

    • Skilled Nursing Facility
    • Frontenac, KS
    • NPI 1992044184

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • ML-Op Coffeyville LLC
    • Skilled Nursing Facility
    • Coffeyville, KS
    • NPI 1952041154

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 18

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1942300215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 OHIO ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482932",
            "telephone_number": "913-772-1844",
            "fax_number": "913-772-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 OHIO ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482932",
            "telephone_number": "913-772-1844",
            "fax_number": "913-772-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-709-0305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N052003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Leavenworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.