WATHENA HEALTHCARE AND REHABILITATION CENTER
NPI 1144255092
Skilled Nursing Facility in Wathena, KS

Active since July 11, 2006CLIA 17D0648195 · Waiver
2112 HIGHWAY 36, WATHENA, KS 66090(785) 989-3141 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2016, Feb 1, 2016 (2 updates tracked since 2016).

About Wathena Healthcare And Rehabilitation Center NPPES

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

WATHENA HEALTHCARE AND REHABILITATION CENTER (NPI 1144255092) is a healthcare organization registered as a skilled nursing facility in Wathena, Kansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1144255092
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWATHENA HEALTHCARE AND REHABILITATION CENTER, LLC
Location Address2112 HIGHWAY 36Wathena, KS 66090
Mailing Address2112 Highway 36Wathena, KS 66090 · (785) 989-3141
Organization SubpartYesParent: Summit Care Llc
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 10, 20162 updates tracked since enumeration
NPI 1144255092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KS · N022001
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.
2112 HIGHWAY 36, Wathena, KS 66090

Other Names 1

Doing Business AsWathena Healthcare And Rehabilitation Center

Other Identifiers 2

Medicaid20304660AKS
Medicare OSCAR/certification175216KS

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 17D0648195

Wathena Healthcare And Rehabilitation Center · Wathena, KS
Active · expires Aug 31, 2026
CLIA Number17D0648195
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid Young
Laboratory Phone(785) 989-3141
Laboratory LocationWathena Healthcare And Rehabilitation Center2112 Hwy 36, Wathena, KS 66090
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 7

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

Nurse Practitioner (Family)
2112 HIGHWAY 36
WATHENA, KS 66090
Occupational Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Physical Therapist
2112 HIGHWAY 36
WATHENA, KS 66090
Speech-Language Pathologist
2112 HIGHWAY 36
WATHENA, KS 66090
Physical Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Physical Therapy Assistant
2112 HIGHWAY 36
WATHENA, KS 66090
Skilled Nursing Facility
2112 HIGHWAY 36
WATHENA, KS 66090

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 Wathena Healthcare And Rehabilitation Center, LLC's NPI number?

The NPI number for Wathena Healthcare And Rehabilitation Center, LLC is 1144255092. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Wathena Healthcare And Rehabilitation Center.

Where is Wathena Healthcare And Rehabilitation Center, LLC located?

Wathena Healthcare And Rehabilitation Center, LLC is located at 2112 Highway 36, Wathena, KS 66090. The listed phone number is (785) 989-3141.

What is Wathena Healthcare And Rehabilitation Center, LLC's specialty?

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

Does Wathena Healthcare And Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0648195) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wathena Healthcare And Rehabilitation Center, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.