WHEATRIDGE PARK CARE CENTER
NPI 1013309830
Skilled Nursing Facility in Liberal, KS

Active since March 03, 2015CLIA 17D0966033 · Waiver
1501 S HOLLY DR, LIBERAL, KS 67901(620) 624-0130 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wheatridge Park Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHEATRIDGE PARK CARE CENTER (NPI 1013309830) is a healthcare organization registered as a skilled nursing facility in Liberal, Kansas and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Dean Kiklis, Member, as its authorized official.

NPPES Registry Identity

NPI1013309830
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIBERAL SNF OP CO LLC
Location Address1501 S HOLLY DRLiberal, KS 67901-2156
Mailing Address1501 S Holly DrLiberal, KS 67901-2156 · (620) 624-0130
Organization SubpartYesParent: Liberal Snf Holdco Llc
Authorized OfficialDean KiklisMember · (303) 952-9216
Enumeration DateMarch 3, 2015
NPI 1013309830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1501 S HOLLY DR, Liberal, KS 67901

Other Names 1

Doing Business AsWheatridge Park Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0966033

Wheatridge Park Care Center · Liberal, KS
Active · expires Oct 5, 2027
CLIA Number17D0966033
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorJosie Mueller
Laboratory Phone(620) 624-0130
Laboratory LocationWheatridge Park Care Center1501 South Holly Drive, Liberal, KS 67901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1501 S HOLLY DR
LIBERAL, KS 67901
Physical Therapy Assistant
1501 S HOLLY DR
LIBERAL, KS 67901
Skilled Nursing Facility
1501 S HOLLY DR
LIBERAL, KS 67901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberal Snf Op Co LLC's NPI number?

The NPI number for Liberal Snf Op Co LLC is 1013309830. It was assigned to this organization in the NPPES registry on March 3, 2015. The provider is doing business as Wheatridge Park Care Center.

Where is Liberal Snf Op Co LLC located?

Liberal Snf Op Co LLC is located at 1501 S Holly Dr, Liberal, KS 67901. The listed phone number is (620) 624-0130.

What is Liberal Snf Op Co LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Liberal Snf Op Co LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0966033) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberal Snf Op Co LLC was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.