SHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER
NPI 1720060759
Skilled Nursing Facility in Shawnee, KS

Active since November 16, 2005CLIA 17D0449705 · Waiver
6416 LONG STREET, SHAWNEE, KS 66216(913) 631-2146(913) 631-0163 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shawnee Gardens Healthcare And Rehabilitation Center NPPES

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

SHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER (NPI 1720060759) is a healthcare organization registered as a skilled nursing facility in Shawnee, Kansas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1720060759
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER, LLC
Location Address6416 LONG STREETShawnee, KS 66216-2566
Mailing Address6416 Long StreetShawnee, KS 66216-2566 · (913) 631-2146 · Fax (913) 631-0163
Fax(913) 631-0163
Organization SubpartYesParent: Summit Care Llc
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateNovember 16, 2005
Last NPPES UpdateFebruary 1, 2016
NPI 1720060759 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 · N046034
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.
6416 LONG STREET, Shawnee, KS 66216

Other Names 1

Doing Business AsShawnee Gardens Healthcare And Rehabilitation Center

Other Identifiers 1

Medicare OSCAR/certification175267KS

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 17D0449705

Shawnee Gardens Healthcare And Rehab · Shawnee, KS
Active · expires Aug 31, 2026
CLIA Number17D0449705
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJacqueline Waitley
Laboratory Phone(913) 631-2146
Laboratory LocationShawnee Gardens Healthcare And Rehab6416 Long, Shawnee, KS 66216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shawnee Gardens Healthcare And Rehabilitation Center, LLC's NPI number?

The NPI number for Shawnee Gardens Healthcare And Rehabilitation Center, LLC is 1720060759. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Shawnee Gardens Healthcare And Rehabilitation Center.

Where is Shawnee Gardens Healthcare And Rehabilitation Center, LLC located?

Shawnee Gardens Healthcare And Rehabilitation Center, LLC is located at 6416 Long Street, Shawnee, KS 66216. The listed phone number is (913) 631-2146.

What is Shawnee Gardens Healthcare And Rehabilitation Center, LLC's specialty?

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

Does Shawnee Gardens Healthcare And Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0449705) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shawnee Gardens Healthcare And Rehabilitation Center, LLC was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.