SHANGRI LA REHAB AND LIVING CENTER
NPI 1215163852
Skilled Nursing Facility in Blue Springs, MO

Active since June 10, 2009
1/5
Overall Rating
930 NE DUNCAN RD, BLUE SPRINGS, MO 64014(816) 229-6677(816) 229-8064 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2020, May 26, 2020, May 21, 2020 and 1 more (4 updates tracked since 2020).

About Shangri La Rehab And Living Center NPPES

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

SHANGRI LA REHAB AND LIVING CENTER (NPI 1215163852) is a healthcare organization registered as a skilled nursing facility in Blue Springs, Missouri and active in the NPI registry since June 2009. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1215163852
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHANGRI LA HCO, LLC
Location Address930 NE DUNCAN RDBlue Springs, MO 64014-2173
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(816) 229-8064
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateJune 10, 2009
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1215163852 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.
930 NE DUNCAN RD, Blue Springs, MO 64014

Other Names 1

Doing Business AsShangri La Rehab And Living 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 26D0888679

Shangri-La Rehab & Living Center · Blue Springs, MO
Expired · Jul 11, 2026
CLIA Number26D0888679
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 12, 2024
Certificate Expiration DateJuly 11, 2026
Laboratory DirectorCassie Jo Perry
Laboratory Phone(816) 229-6677
Laboratory LocationShangri-La Rehab & Living Center930 NE Duncan Road, Blue Springs, MO 64015
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Shangri-La Rehab & Living Center (CMS certification number 265595), from CMS Care Compare.

Shangri-La Rehab & Living Center

Nursing home · Blue Springs, MO
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number265595
Certified Beds120 beds71 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1994
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
198.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.26 · LPN 0.28 · RN 0.44
1.98 hrs per resident per day
Weekend Nurse Staffing
1.67 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
77.9%
Registered Nurse Turnover
100%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
3
Infection-Control Citations
0
Fines
2 totaling $31,895.50
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

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

Speech-Language Pathologist
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
General Practice
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Skilled Nursing Facility
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Physical Therapy Assistant
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Occupational Therapy Assistant
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Skilled Nursing Facility
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Skilled Nursing Facility
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014
Skilled Nursing Facility
930 NE DUNCAN RD
BLUE SPRINGS, MO 64014

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 Shangri La Hco, LLC's NPI number?

The NPI number for Shangri La Hco, LLC is 1215163852. It was assigned to this organization in the NPPES registry on June 10, 2009. The provider is doing business as Shangri La Rehab And Living Center.

Where is Shangri La Hco, LLC located?

Shangri La Hco, LLC is located at 930 NE Duncan Rd, Blue Springs, MO 64014. The listed phone number is (816) 229-6677.

What is Shangri La Hco, LLC's specialty?

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

Is Shangri La Hco, LLC a Medicare-certified nursing home?

Yes. Shangri-La Rehab & Living Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Shangri La Hco, LLC have?

CMS rates Shangri-La Rehab & Living Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Shangri La Hco, LLC was last updated on September 10, 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.