PARK VILLA
NPI 1629009337
Skilled Nursing Facility in Clyde, KS

Active since July 05, 2006CLIA 17D0450823 · Waiver
3/5
Overall Rating
114 SOUTH HIGH, CLYDE, KS 66938(785) 446-2818(785) 446-2288 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Villa NPPES

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

PARK VILLA (NPI 1629009337) is a healthcare organization registered as a skilled nursing facility in Clyde, Kansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David L Scott, Administrator/social Worker, as its authorized official.

NPPES Registry Identity

NPI1629009337
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLYDE DEVELOPMENT INC
Location Address114 SOUTH HIGHClyde, KS 66938-9472
Mailing Address114 South HighClyde, KS 66938-9472 · (785) 446-2818 · Fax (785) 446-2288
Fax(785) 446-2288
Organization SubpartNo
Authorized OfficialDavid L ScottAdministrator/social Worker · (785) 446-2518
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1629009337 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 · 314000000X
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.
114 SOUTH HIGH, Clyde, KS 66938

Other Names 1

Doing Business AsPark Villa

Other Identifiers 1

Medicaid100109300AKS

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 17D0450823

Park Villa · Clyde, KS
Active · expires Aug 31, 2026
CLIA Number17D0450823
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKelcey Guy
Laboratory Phone(785) 446-2818
Laboratory LocationPark Villa114 S High, Clyde, KS 66938
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 Park Villa (CMS certification number 175492), from CMS Care Compare.

Park Villa

Nursing home · Clyde, KS
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number175492
Certified Beds34 beds33 residents per day on average
Medicare & Medicaid Participant SinceSeptember 28, 2007
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.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48.67
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 2.59 · LPN 0.42 · RN 0.8
3.81 hrs per resident per day
Weekend Nurse Staffing
3.03 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
47.2%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

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

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 Clyde Development Inc's NPI number?

The NPI number for Clyde Development Inc is 1629009337. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Park Villa.

Where is Clyde Development Inc located?

Clyde Development Inc is located at 114 South High, Clyde, KS 66938. The listed phone number is (785) 446-2818.

What is Clyde Development Inc's specialty?

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

Does Clyde Development Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0450823) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clyde Development Inc a Medicare-certified nursing home?

Yes. Park Villa is a Medicare-certified nursing home with 34 certified beds.

What quality rating does Clyde Development Inc have?

CMS rates Park Villa 3 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 Clyde Development Inc was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.