KPC PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK LLC
NPI 1306400841
Skilled Nursing Facility in Overland Park, KS

Active since April 30, 2019CLIA 17D0449520 · Waiver
3/5
Overall Rating
6505 W 103RD ST, OVERLAND PARK, KS 66212(913) 649-5110 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Apr 30, 2019 (2 updates tracked since 2019).

About Kpc Promise Skilled Nursing Facility Of Overland Park Llc NPPES

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

KPC PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK LLC (NPI 1306400841) is a healthcare organization registered as a skilled nursing facility in Overland Park, Kansas and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Thomas, Secretary, as its authorized official.

NPPES Registry Identity

NPI1306400841
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKPC PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK LLC
Location Address6505 W 103RD STOverland Park, KS 66212-1728
Mailing Address900 N Federal Hwy Ste 350Boca Raton, FL 33432-2754 · (561) 869-6505
Organization SubpartNo
Authorized OfficialWilliam ThomasSecretary · (951) 987-8100
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
NPI 1306400841 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.
6505 W 103RD ST, Overland Park, KS 66212

Accepted Insurance

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 17D0449520

Kpc Promise Skilled Nursing Facility Of Overland Park, LLC · Overland Park, KS
Active · expires Aug 31, 2026
CLIA Number17D0449520
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa Hanna
Laboratory Phone(913) 649-5110
Laboratory LocationKpc Promise Skilled Nursing Facility Of Overland Park, LLC6505 W 103rd St Attn Stacy L Consley, Overland Park, KS 66212
CLIA data matches this NPI record on: Address Name 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 Kpc Promise Skilled Nursing Facility Of Overland (CMS certification number 175240), from CMS Care Compare.

Kpc Promise Skilled Nursing Facility Of Overland

Nursing home · Overland Park, KS
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number175240
Certified Beds44 beds24 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1993
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
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.
26.67
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 2.18 · LPN 1.61 · RN 0.66
4.45 hrs per resident per day
Weekend Nurse Staffing
3.95 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.
28%
Registered Nurse Turnover
20%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
1 totaling $25,285.00
Medicare Payment Denials
1
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 5

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

Skilled Nursing Facility
6505 W 103RD ST
OVERLAND PARK, KS 66212
Skilled Nursing Facility
6505 W 103RD ST
OVERLAND PARK, KS 66212
Skilled Nursing Facility
6505 W 103RD ST
OVERLAND PARK, KS 66212
Skilled Nursing Facility
6505 W 103RD ST
OVERLAND PARK, KS 66212
Skilled Nursing Facility
6505 W 103RD ST
OVERLAND PARK, KS 66212

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 Kpc Promise Skilled Nursing Facility Of Overland Park LLC's NPI number?

The NPI number for Kpc Promise Skilled Nursing Facility Of Overland Park LLC is 1306400841. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Kpc Promise Skilled Nursing Facility Of Overland Park LLC located?

Kpc Promise Skilled Nursing Facility Of Overland Park LLC is located at 6505 W 103rd St, Overland Park, KS 66212. The listed phone number is (913) 649-5110.

What is Kpc Promise Skilled Nursing Facility Of Overland Park LLC's specialty?

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

Does Kpc Promise Skilled Nursing Facility Of Overland Park LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0449520) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kpc Promise Skilled Nursing Facility Of Overland Park LLC a Medicare-certified nursing home?

Yes. Kpc Promise Skilled Nursing Facility Of Overland is a Medicare-certified nursing home with 44 certified beds.

What quality rating does Kpc Promise Skilled Nursing Facility Of Overland Park LLC have?

CMS rates Kpc Promise Skilled Nursing Facility Of Overland 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Kpc Promise Skilled Nursing Facility Of Overland Park LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kpc Promise Skilled Nursing Facility Of Overland Park LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kpc Promise Skilled Nursing Facility Of Overland Park LLC was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.