Organization Active NPI

Medicalodges, Inc.

Doing business as Medicalodges Frontenac

  • Skilled Nursing Facility
  • Frontenac, KS
National Provider Identifier
1992044184
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N019007 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Medicalodges Frontenac
Practice address
206 S Dittman St
Frontenac, KS 66763-2253
Phone
(620) 231-7340
Fax
(620) 231-3955
NPI assigned
Feb 7, 2013
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 N019007 KS Primary

Addresses

Primary practice location

206 S Dittman St
Frontenac, KS 66763-2253

Mailing address

206 S Dittman St
Frontenac, KS 66763-2253
Phone (620) 231-7340

Other identifiers 1

IdentifierTypeStateIssuer
100107330LMedicaidKS

Other names 1

  • Medicalodges Frontenac Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000539 KS Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Fontenac, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992044184. Details of each certification follow.

Skilled nursing facility certification: CCN 175363

Legal name
MEDICALODGES INC
Doing business as
MEDICALODGES FRONTENAC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1996
Last certification
Nov 18, 2024
Beds
55
Ownership / control type
Corporation
Multi-facility organization
Medicalodges Inc
Organization structure
CorporationProprietary
Enrollment address
206 S Dittman St
Fontenac, KS 66763-2253
Nursing home name
MEDICALODGES FRONTENAC
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 FrontenacCCN 175363 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5547.4 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain
Penalties (3 years)
1Fines totaling $16,858

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 28

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 OfficerV.P of Financial Reporting Mar 1, 2013
Trustee of the SNF Mar 1, 2013
Ron Ott Individual Corporate DirectorBoard Member Mar 1, 2013
Kristyn Fisher Individual Corporate OfficerAssistant Secretary Mar 28, 2024
Kathleen L Lantz Individual Corporate OfficerVP and Director of Employee Safety Mar 1, 2013
Travis I McBride Individual Corporate OfficerRegional Vice President Mar 1, 2013
Lori a Waechter Harmon Individual Corporate OfficerVice President of Revenue/Reimburse Apr 1, 2019
Richard Butler Individual Corporate DirectorChairman of the Board Mar 1, 2013
William Bryan Dillon Individual Corporate OfficerRegional Vice President Sep 12, 2022
Carol Marshall Individual Corporate DirectorBoard Member Mar 1, 2013
Gayle M Doll Individual Corporate DirectorBoard of Director Mar 1, 2013
Medicalodges Inc Organization, Coffeyville, KS Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Operational/Managerial Control Mar 1, 2013
Adp of the SNF Dec 17, 2025
Amber Schertz Individual Corporate OfficerRegional Vice President Oct 5, 2023
Bridget C Grover Individual Corporate DirectorBoard Member Jun 1, 2025
Michael Ricks Individual Operational/Managerial Control Feb 16, 2017
Adp of the SNF Nov 19, 2025
Organization, Lenexa, KS Corporation, Medical provider/supplier Adp of the SNF Dec 3, 2025
Samantha Listwan Individual Corporate OfficerRegional VP of Home Services Jun 5, 2017
Teresa Coover Individual Corporate OfficerChief Clinical Officer Sep 21, 2017
John David Taylor Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Organization, Murfreesboro, TN Corporation, Medical provider/supplier, For-profit Adp of the SNF Dec 3, 2025
Garen L Cox Individual Corporate DirectorBoard Member Mar 1, 2013
Trustee of the SNF Mar 1, 2013
Elizabeth Kelly Individual Corporate OfficerVP and General Counsel Mar 27, 2025
Scott L Hines Individual Corporate OfficerCeo/President Mar 1, 2013
Corporate DirectorPresident/Ceo Mar 1, 2013
Trustee of the SNF Mar 1, 2013
Organization, Prairie Village, KS Corporation Adp of the SNF Dec 3, 2025
City of Frontenac, Kansas Organization, Frontenac, KS Corporation Operational/Managerial Control Mar 1, 2013
Adp of the SNF Dec 3, 2025
Kevin Christmas Individual Corporate OfficerVP and Director of Construction Mar 27, 2025
Shannon M Lager Individual Corporate OfficerChief Operations Officer Jun 1, 2013
Corporate DirectorVice President Mar 23, 2018
Organization, Joplin, MO Medical provider/supplier Adp of the SNF Dec 3, 2025
Jana Daniels Individual Corporate OfficerVP and Director of Human Resources Mar 27, 2025

Owners & managing parties with NPI records 17

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

View all 17

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
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Apr 19, 1976
Apr 19, 1976
Jul 16, 2025
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 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.

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 4

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.

Affiliated clinicians 3

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": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1992044184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S DITTMAN ST",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667632253",
            "telephone_number": "620-231-7340",
            "fax_number": "620-231-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S DITTMAN ST",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667632253",
            "telephone_number": "620-231-7340",
            "fax_number": "620-231-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-10-25",
        "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": "N019007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107330L",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Frontenac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frontenac, KS

Sources for this page

Verify at the official NPI Registry.