NPIMap

Organization Active NPI

Via Christi Village McLean, Inc

Doing business as Ascension Living Via Christi Village Mclean

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1972701241
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N087056 Issued in KS
Legal business name
VIA CHRISTI VILLAGE MCLEAN, INC
Doing business as
Ascension Living Via Christi Village Mclean
Practice address
777 N McLean Blvd
Wichita, KS 67203-4980
Phone
(316) 942-7000
NPI assigned
Jul 6, 2007
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Erin Shadbolt
Title
Ceo
Phone
(314) 729-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N087056 KS
Skilled Nursing Facility 314000000X N087056 KS Primary

Addresses

Primary practice location

777 N McLean Blvd
Wichita, KS 67203-4980

Mailing address

777 N McLean Blvd
Wichita, KS 67203-4980
Phone (316) 942-7000

Other identifiers 2

IdentifierTypeStateIssuer
201092300AMedicaidKS
N087056OtherKSSTATE LICENSE NUMBER

Other names 1

  • Ascension Living Via Christi Village Mclean Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502001795 KS Part A Provider - Skilled Nursing Facility 0941433619 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972701241. Details of each certification follow.

Skilled nursing facility certification: CCN 175543

Legal name
VIA CHRISTI VILLAGE MCLEAN, INC
Doing business as
ASCENSION LIVING VIA CHRISTI VILLAGE MCLEAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2014
Last certification
Nov 15, 2023
Beds
95 (36 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ascension
Organization structure
CorporationNon-profit
Enrollment address
777 N McLean Blvd
Wichita, KS 67203-4980
Nursing home name
ASCENSION LIVING VIA CHRISTI VILLAGE MCLEAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ascension Living Via Christi Village McLeanCCN 175543 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3633.2 residents per day on average

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
17D0994294Via Christi Village McLean, Inc777 N McLean Blvd, Wichita, KS 67203Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Medical Solutions LLC Organization, Omaha, NE LLC, Medical staffing company Adp of the SNF Jun 14, 2017
Health Dimensions Consulting Inc Organization, Minneapolis, MN Corporation, Medical staffing company Adp of the SNF Aug 2, 2019
Interim Health Care of Wichita Inc Organization, Wichita, KS Corporation, Medical staffing company Adp of the SNF Nov 14, 2024
Ascension Health Senior Care Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2014
Valan Polley Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
Weiss Staffing Solutions Organization, Kansas City, MO Corporation, Medical staffing company Adp of the SNF May 17, 2021
Via Christi Villages Inc Organization, Wichita, KS Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Lisa Musgrave Individual Corporate OfficerSVP Post Acute Care Jan 1, 2024
Adp of the SNF Jan 1, 2024
Tamara L McCue Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Kenneth Smoot Individual Corporate DirectorChief Mission Integration Officer Jan 1, 2024
Adp of the SNF Jan 1, 2024
Erin Shadbolt Individual Corporate DirectorChief Executive Officer Jan 1, 2024
Adp of the SNF Jan 1, 2024

Owners & managing parties with NPI records 4

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

Facilities with the same owner 13

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

View all 13

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1972701241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N MCLEAN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034980",
            "telephone_number": "316-942-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N MCLEAN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034980",
            "telephone_number": "316-942-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI VILLAGE MCLEAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "SHADBOLT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-729-3500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N087056",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201092300A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "N087056",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Living Via Christi Village Mclean",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.