NPIMap

Organization Active NPI

Presbyterian Manors, Inc.

Doing business as Presbyterian Hospice of Mid-America

  • Community Based Hospice Care Agency
  • Farmington, MO
National Provider Identifier
1942304266
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
152-HO Issued in MO
Legal business name
PRESBYTERIAN MANORS, INC.
Doing business as
Presbyterian Hospice of Mid-America
Practice address
500 Cayce St
Farmington, MO 63640-2910
Phone
(573) 756-7066
Fax
(573) 756-7991
NPI assigned
Sep 8, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mr. William M Ward Jr.
Title
President/Ceo
Phone
(316) 685-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 152-HO MO Primary

Addresses

Primary practice location

500 Cayce St
Farmington, MO 63640-2910

Mailing address

PO Box 20440
Wichita, KS 67208-1440
Phone (316) 685-1100

Other names 1

  • Presbyterian Hospice of Mid-America Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000528 MO Part A Provider - Hospice 1254242639 Practice locations: Farmington, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942304266. Details of each certification follow.

Hospice certification: CCN 261614

Legal name
PRESBYTERIAN MANORS INC
Doing business as
HEART & SOUL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 21, 2005
Last certification
Apr 29, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1948 in KS
Enrollment address
412 Cayce St
Farmington, MO 63640-1701

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart & Soul HospiceCCN 261614 · All quality measures
Ownership
Non-Profit
Certified
Nov 21, 2005
Medicare certification status
ActiveFrom the Provider of Services file

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
26D1052490Heart and Soul Hospice412 Cayce St, Farmington, MO 63640Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Manor15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

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
John H Goodwin Individual Corporate DirectorBoard of Trustee Jul 1, 2018
Rob Schendel Individual Corporate DirectorBoard of Trustee Nov 15, 2023
William Taylor Individual Corporate OfficerCoo Jul 1, 2015
Presbyterian Manors of Mid-America Inc Organization, Wichita, KS Created for acquisition, Non-profit, Chain home office Operational/Managerial Control Oct 1, 2004 100%
Melanie Owens Individual Corporate OfficerCfo Jul 10, 2017
Robert Bonney Individual Corporate DirectorBoard of Trustee Jul 1, 2019
Traery Noubarian Individual W-2 Managing EmployeeAd; Jul 1, 2018
Paul S Moniz Individual Contracted Managing EmployeeMD; Jan 31, 2025
Patricia Cook Individual Corporate DirectorBoard of Trustee Jul 1, 2022
Joan M Miller Individual Corporate OfficerAsst Treasurer/Controller Sep 1, 1997
Nancy Duling Individual Corporate DirectorBoard of Trustee Jul 1, 2020
Carla Farmer Individual Corporate DirectorBoard of Trustee Sep 1, 2025
William D Johnson Individual Contracted Managing EmployeeMD; Jan 31, 2025
Daniel F. Harris Individual Corporate DirectorBoard of Trustee Jul 1, 2019
Sherry K Hind Individual Corporate OfficerSecretary Jul 1, 1989
Gary D Brennecke Individual Corporate DirectorBoard of Trustee Jul 1, 2015
Bruce H Shogren Individual Corporate OfficerPresident/Ceo Aug 5, 1996

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 13

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

FacilityTypeRoleSince
Topeka Presbyterian ManorTopeka, KS, CCN 175297 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Clay Center Presbyterian ManorClay Center, KS, CCN 175310 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Emporia Presbyterian ManorEmporia, KS, CCN 175304 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Newton Presbyterian ManorNewton, KS, CCN 175302 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Lawrence Presbyterian ManorLawrence, KS, CCN 175305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Manor of the PlainsDodge City, KS, CCN 175306 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Rolla Presbyterian ManorRolla, MO, CCN 265580 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Farmington Presbyterian ManorFarmington, MO, CCN 265583 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Parsons Presbyterian ManorParsons, KS, CCN 175303 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Arkansas City Presbyterian ManorArkansas City, KS, CCN 175309 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Wichita Presbyterian ManorWichita, KS, CCN 175301 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Salina Presbyterian ManorSalina, KS, CCN 175300 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1989
Aberdeen VillageOlathe, KS, CCN 175448 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1942304266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20440",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081440",
            "telephone_number": "316-685-1100",
            "fax_number": "316-685-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAYCE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402910",
            "telephone_number": "573-756-7066",
            "fax_number": "573-756-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN MANORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "316-685-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "152-HO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Hospice of Mid-America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.