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WHEAT RIDGE ACRES
NPI 1093776171
Assisted Living Facility in Goodland, KS

Active since March 29, 2006CLIA 17D1002251 · Waiver
707 WHEAT RIDGE CIR, GOODLAND, KS 67735(785) 899-0100(785) 899-0277 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wheat Ridge Acres NPPES

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

WHEAT RIDGE ACRES (NPI 1093776171) is a healthcare organization registered as an assisted living facility in Goodland, Kansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Donald Kanen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093776171
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOODLAND ASSISTED LIVING, LLC
Location Address707 WHEAT RIDGE CIRGoodland, KS 67735-2256
Mailing Address2415 Mullins Ave, Suite 4Alamosa, CO 81101-4274 · (719) 589-2063 · Fax (719) 589-8891
Phone(785) 899-0100
Fax(785) 899-0277
Organization SubpartNo
Authorized OfficialDonald KanenCfo · (719) 589-2063
Enumeration DateMarch 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093776171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N091002
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
707 WHEAT RIDGE CIR, Goodland, KS 67735
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Other Names 1

Doing Business AsWheat Ridge Acres

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 17D1002251

Wheat Ridge Acres · Goodland, KS
Active · expires Nov 2, 2027
CLIA Number17D1002251
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorAnna M. Mannis
Laboratory Phone(785) 899-0100
Laboratory LocationWheat Ridge Acres707 Wheat Ridge Circle, Goodland, KS 67735
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Goodland Assisted Living, LLC's NPI number?

The NPI number for Goodland Assisted Living, LLC is 1093776171. It was assigned to this organization in the NPPES registry on March 29, 2006. The provider is doing business as Wheat Ridge Acres.

Where is Goodland Assisted Living, LLC located?

Goodland Assisted Living, LLC is located at 707 Wheat Ridge Cir, Goodland, KS 67735. The listed phone number is (785) 899-0100.

What is Goodland Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Goodland Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1002251) is associated with this NPI, valid through November 2, 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 Goodland Assisted Living, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.