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VILLAGE SHALOM, INC
NPI 1316908163
Skilled Nursing Facility in Overland Park, KS

Active since March 31, 2006CLIA 17D0974310 · Waiver
1/5
Overall Rating
5500 W 123RD ST, OVERLAND PARK, KS 66209(913) 317-2600 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Shalom, Inc NPPES

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

VILLAGE SHALOM, INC (NPI 1316908163) is a healthcare organization registered as a skilled nursing facility in Overland Park, Kansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Matthew Earl Lewis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1316908163
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVILLAGE SHALOM, INC
Location Address5500 W 123RD STOverland Park, KS 66209-3193
Mailing Address5500 W 123rd StOverland Park, KS 66209-3193 · (913) 317-2600
Phone(913) 317-2600
Organization SubpartNo
Authorized OfficialMatthew Earl LewisPresident/ceo · (913) 266-8400
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 28, 2010
✔ NPI 1316908163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in KS · N046054
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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License N046054 (KS)
Also ListedAssisted Living FacilityTaxonomy 310400000X · License N046054 (KS)
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License N046054 (KS)
5500 W 123RD ST, Overland Park, KS 66209
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified17-5441KS
Other90924016KS · Bcbs Provider Number
Medicaid100112060AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 17D0974310

Village Shalom Inc · Overland Park, KS
Active · expires Jun 1, 2028
CLIA Number17D0974310
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorCristal Hernandez
Laboratory Phone(913) 266-8435
Laboratory LocationVillage Shalom Inc5500 West 123rd Street, Overland Park, KS 66209
CLIA data matches this NPI record on: Address Name
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 Village Shalom Inc (CMS certification number 175441), from CMS Care Compare.

Village Shalom Inc

Nursing home · Overland Park, KS
1/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number175441
Certified Beds82 beds68 residents per day on average
Medicare & Medicaid Participant SinceOctober 31, 2000
Resident & Family CouncilResident and family councils
Continuing care retirement community 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
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
113.33
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 3.44 · LPN 1.23 · RN 0.48
5.16 hrs per resident per day
Weekend Nurse Staffing
4.97 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
57.5%
Registered Nurse Turnover
60%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $975.00
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 4

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

MS. ARTIE LEE ROMERO OTA
Occupational Therapy Assistant
5500 W 123RD ST
OVERLAND PARK, KS 66209
Johnson County (913) 317-2600
MR. JUSTIN BOLES CUDNIK RDN
Dietitian, Registered
5500 W 123RD ST
OVERLAND PARK, KS 66209
Johnson County (913) 317-2600
LAUREN WARD
Speech-Language Pathologist
5500 W 123RD ST
OVERLAND PARK, KS 66209
Johnson County (913) 317-2600
JENNIFER RUELLE OTR/L
Occupational Therapist
5500 W 123RD ST
LEAWOOD, KS 66209
Johnson County (913) 317-2600

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 Village Shalom, Inc's NPI number?

The NPI number for Village Shalom, Inc is 1316908163. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is Village Shalom, Inc located?

Village Shalom, Inc is located at 5500 W 123rd St, Overland Park, KS 66209. The listed phone number is (913) 317-2600.

What is Village Shalom, Inc's specialty?

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

Does Village Shalom, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0974310) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Village Shalom, Inc a Medicare-certified nursing home?

Yes. Village Shalom Inc is a Medicare-certified nursing home with 82 certified beds.

What quality rating does Village Shalom, Inc have?

CMS rates Village Shalom Inc 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Village Shalom, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Village Shalom, Inc 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 Village Shalom, Inc was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.