Active NPI
Winfield Rest Haven Inc
Doing business as Winfield Rest Haven II, LC
- Skilled Nursing Facility
- Winfield, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1042141001
- Legal business name
- WINFIELD REST HAVEN INC
- Doing business as
- Winfield Rest Haven II, LC
- Practice address
- 1611 Ritchie St
Winfield, KS 67156-5252 - Phone
- (620) 221-9290
- Fax
- (620) 229-8297
- NPI assigned
- Sep 15, 2005
- Last updated
- Feb 20, 2012
- 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
- Ms. Ola J Utt
- Title
- Administrator
- Phone
- (620) 221-9290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1042141001 | KS | Primary |
Addresses
Primary practice location
1611 Ritchie St
Winfield, KS 67156-5252
Mailing address
1611 Ritchie St
Winfield, KS 67156-5252
Phone (620) 221-9290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042141001 | Medicaid | KS |
Other names 1
- Winfield Rest Haven II, LC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060127000006 | KS | Part A Provider - Skilled Nursing Facility | 4385658541 | Practice locations: Winfield, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982699062. Details of each certification follow.
Skilled nursing facility certification: CCN 175488
- Legal name
- WINFIELD REST HAVEN INC
- Doing business as
- WINFIELD REST HAVEN II LC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 23, 2006
- Last certification
- Dec 4, 2024
- Beds
- 41
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Enrollment address
- 1611 Ritchie St
Winfield, KS 67156-5252 - Nursing home name
- WINFIELD REST HAVEN II, LLC
- Affiliated entity
- GRACE TEAM SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Winfield Rest Haven II, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jun 23, 2006
- Medicare certification status
- Active
- Certified beds
- 41
- Chain
- Grace Team Services
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 |
|---|---|---|---|
| 17D0451294 | Winfield Rest Haven II, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Amy Lemer | Corporate Director | Oct 21, 2022 | |
| Operational/Managerial Control | Oct 21, 2022 | ||
| Adp of the SNF | Aug 28, 2025 | ||
| Ryan J Grace | Operational/Managerial Control | Jul 1, 2021 | |
| Adp of the SNF | Jul 1, 2021 | ||
| Kenneth Howell | Corporate Director | Feb 11, 2017 | 14% |
| Lynette Turney | Corporate Director | Oct 19, 2021 | 14% |
| David Bachman | Corporate Director | Jan 1, 2024 | 14% |
| Alvin D Bird | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Mike Fox | Corporate Director | Jan 1, 2025 | 14% |
| Terry Lawrence | Corporate Director | Jan 27, 2006 | 16% |
| Mike Neal | Corporate Director | Jan 1, 2013 | 14% |
| Winfield Rest Haven Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Adp of the SNF | Nov 13, 1967 | ||
| Grace Team LLC | Operational/Managerial Control | Jul 1, 2021 | |
| Adp of the SNF | Aug 28, 2025 | ||
| Doug Watts | Corporate Director | Jan 1, 2025 | 14% |
| Celina Willis | Corporate Director | Jun 1, 2020 | 5% |
| Operational/Managerial Control | Jun 1, 2020 | ||
| Bland & Associates, P.C. | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Aug 28, 2025 | ||
| Eric J Huebert | Operational/Managerial Control | Jul 1, 2021 | |
| Adp of the SNF | Jul 1, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Winfield, KS
- NPI 1881621068
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Sterling Village
- Skilled Nursing Facility
- Sterling, KS
- NPI 1861044430
Bland & Associates, P.C., Grace Team LLC
-
- Skilled Nursing Facility
- Saint Francis, KS
- NPI 1225512304
Grace Team LLC
-
- Skilled Nursing Facility
- Frankfort, KS
- NPI 1831184829
Grace Team LLC
-
dba SunPorch of Dodge City
- Skilled Nursing Facility
- Dodge City, KS
- NPI 1083133458
Grace Team LLC
-
dba Park Lane Nursing Home
- Nursing Facility/Intermediate Care Facility
- Scott City, KS
- NPI 1417946187
Grace Team LLC
-
dba SunPorch of Smith Center
- Skilled Nursing Facility
- Smith Center, KS
- NPI 1588162382
Grace Team LLC
-
- Skilled Nursing Facility
- Goodland, KS
- NPI 1548827397
Bland & Associates, P.C., Grace Team LLC
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.
-
- Psychologist
- York, NE
- NPI 1972228559
-
- General Practice Physician
- Winfield, KS
- NPI 1881621068
Affiliated clinicians 5
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": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1982699062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 RITCHIE ST",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671565252",
"telephone_number": "620-221-9290",
"fax_number": "620-229-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 RITCHIE ST",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671565252",
"telephone_number": "620-221-9290",
"fax_number": "620-229-8297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINFIELD REST HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "UTT",
"authorized_official_first_name": "OLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "620-221-9290",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "1042141001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1042141001",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Winfield Rest Haven II, LC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winfield, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.