Active NPI
Rush County Nursing Home Society
- Skilled Nursing Facility
- La Crosse, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N083-001
- Legal business name
- RUSH COUNTY NURSING HOME SOCIETY
- Practice address
- 701 W 6TH St
La Crosse, KS 67548-9738 - Phone
- (785) 222-2574
- Fax
- (785) 222-9034
- NPI assigned
- Jun 22, 2006
- Last updated
- May 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlotte Ruth Rathke
- Title
- Administrator
- Phone
- (785) 222-2574
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A-083-002 | KS | |
| Skilled Nursing Facility | 314000000X | N083-001 | KS | Primary |
| In Home Supportive Care Agency | 253Z00000X | 100109770C | KS |
Addresses
Primary practice location
701 W 6TH St
La Crosse, KS 67548-9738
Mailing address
701 W. 6TH
La Crosse, KS 67548-9738
Phone (785) 222-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100109770A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140205000344 | KS | Part A Provider - Skilled Nursing Facility | 7315835725 | Practice locations: La Crosse, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972549434. Details of each certification follow.
Skilled nursing facility certification: CCN 175369
- Legal name
- RUSH COUNTY NURSING HOME SOCIETY
- Doing business as
- LOCUST GROVE VILLAGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1996
- Last certification
- Sep 11, 2024
- Beds
- 61 (38 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Other
- Enrollment address
- 701 W 6TH St
La Crosse, KS 67548-9738 - Nursing home name
- LOCUST GROVE VILLAGE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Locust Grove Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 1996
- Medicare certification status
- Active
- Certified beds
- 38
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0663321 | Locust Grove Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tayci Helm | Adp of the SNF | Sep 2, 2014 | |
| James Northcutt | Adp of the SNF | Jan 1, 2009 | |
| Troy Aldrich | Corporate Director | Mar 28, 2024 | |
| Operational/Managerial Control | Mar 28, 2024 | ||
| Managing Control - Governing Body | Mar 28, 2024 | ||
| Trustee of the SNF | Mar 28, 2024 | ||
| Adp of the SNF | Mar 28, 2024 | ||
| Kathy Holopirek | Corporate Director | Feb 22, 2024 | |
| Operational/Managerial Control | Feb 22, 2024 | ||
| Managing Control - Governing Body | Feb 22, 2024 | ||
| Trustee of the SNF | Feb 22, 2024 | ||
| Adp of the SNF | Feb 22, 2024 | ||
| Tonya Basgall | Corporate Officer | May 23, 2024 | |
| Corporate Director | Sep 22, 2016 | ||
| Operational/Managerial Control | Sep 22, 2016 | ||
| Managing Control - Governing Body | Sep 22, 2016 | ||
| Trustee of the SNF | Sep 22, 2016 | ||
| Adp of the SNF | Sep 22, 2016 | ||
| Rachel Holopirek | Corporate Director | Feb 22, 2024 | |
| Operational/Managerial Control | Feb 22, 2024 | ||
| Managing Control - Governing Body | Feb 22, 2024 | ||
| Trustee of the SNF | Feb 22, 2024 | ||
| Adp of the SNF | Feb 22, 2024 | ||
| Suzi Worthey | Operational/Managerial Control | Jun 10, 2025 | |
| Adp of the SNF | Jun 10, 2025 | ||
| Michael Stecklein | Adp of the SNF | Jan 20, 2010 | |
| Farmers Bank and Trust | Adp of the SNF | Feb 4, 2004 | |
| Robert C Ladd | Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | May 1, 2019 | ||
| Ruth Baalmann | Corporate Officer | Jun 27, 2013 | |
| Corporate Director | Jun 27, 2013 | ||
| Operational/Managerial Control | Jun 27, 2013 | ||
| Managing Control - Governing Body | Jun 27, 2013 | ||
| Trustee of the SNF | Jun 27, 2013 | ||
| Adp of the SNF | Jun 27, 2013 | ||
| Cari Torrez | Adp of the SNF | Sep 4, 2024 | |
| James Gipson | Adp of the SNF | Feb 28, 2018 | |
| Sydni Hartman | Adp of the SNF | Feb 24, 2022 | |
| Forvis Mazars LLP | Adp of the SNF | Feb 4, 2004 | |
| Charlotte Rathke | Operational/Managerial Control | Feb 17, 2004 | |
| Adp of the SNF | Feb 17, 2004 | ||
| Trustee of the SNF | Feb 17, 2004 | ||
| Adp of the SNF | Feb 17, 2004 | ||
| Samuel Norman Gross | Adp of the SNF | Jun 1, 2023 | |
| London Leaming | Adp of the SNF | Jul 8, 2024 | |
| Bland & Associates, P.C. | Adp of the SNF | Sep 23, 2022 | |
| Amy Depperschmidt | Corporate Officer | Sep 24, 2020 | |
| Corporate Director | Sep 24, 2020 | ||
| Operational/Managerial Control | Sep 24, 2020 | ||
| Managing Control - Governing Body | Sep 24, 2020 | ||
| Trustee of the SNF | Sep 24, 2020 | ||
| Adp of the SNF | Sep 24, 2020 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- La Crosse, KS
- NPI 1558334839
Adp of the SNF, Operational/Managerial 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.
-
- Family Medicine Physician
- La Crosse, KS
- NPI 1558334839
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": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1972549434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W. 6TH",
"city": "LA CROSSE",
"state": "KS",
"postal_code": "675489738",
"telephone_number": "785-222-2574",
"fax_number": "785-222-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 6TH ST",
"city": "LA CROSSE",
"state": "KS",
"postal_code": "675489738",
"telephone_number": "785-222-2574",
"fax_number": "785-222-9034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH COUNTY NURSING HOME SOCIETY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "RATHKE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "785-222-2574",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-083-002",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N083-001",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "KS",
"license": "100109770C",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100109770A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.