EDWARDSVILLE OPERATOR, LLC
NPI 1487203444
Skilled Nursing Facility in Edwardsville, KS

Active since September 11, 2019CLIA 17D0448893 · Waiver
751 BLAKE ST, EDWARDSVILLE, KS 66111(813) 441-1900 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwardsville Operator, Llc NPPES

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

EDWARDSVILLE OPERATOR, LLC (NPI 1487203444) is a healthcare organization registered as a skilled nursing facility in Edwardsville, Kansas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stuart Lindeman, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1487203444
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEDWARDSVILLE OPERATOR, LLC
Location Address751 BLAKE STEdwardsville, KS 66111-1338
Mailing Address2907 W Bay To Bay Blvd Ste 303Tampa, FL 33629-8187 · (813) 280-1333
Organization SubpartNo
Authorized OfficialStuart LindemanPresident And Ceo · (813) 280-1333
Enumeration DateSeptember 11, 2019
NPI 1487203444 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.
751 BLAKE ST, Edwardsville, KS 66111

Other Identifiers 1

OtherN105004KS · Kansas State License Number

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 17D0448893

Edwardsville Operator, LLC · Edwardsville, KS
Active · expires Aug 31, 2026
CLIA Number17D0448893
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnn Wright
Laboratory Phone(913) 441-1900
Laboratory LocationEdwardsville Operator, LLC751 Blake Street, Edwardsville, KS 66111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
751 BLAKE ST
EDWARDSVILLE, KS 66111

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 Edwardsville Operator, LLC's NPI number?

The NPI number for Edwardsville Operator, LLC is 1487203444. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Edwardsville Operator, LLC located?

Edwardsville Operator, LLC is located at 751 Blake St, Edwardsville, KS 66111. The listed phone number is (813) 441-1900.

What is Edwardsville Operator, LLC's specialty?

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

Does Edwardsville Operator, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0448893) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edwardsville Operator, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Edwardsville Operator, 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 Edwardsville Operator, LLC was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.