PROVIDENCE OPCO, LLC
NPI 1730950460
Skilled Nursing Facility in Topeka, KS

Active since January 11, 2024CLIA 17D0917457 · Waiver
1112 SE REPUBLICAN AVE, TOPEKA, KS 66607(785) 233-0588 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Opco, Llc NPPES

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

PROVIDENCE OPCO, LLC (NPI 1730950460) is a healthcare organization registered as a skilled nursing facility in Topeka, Kansas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Stuart Lindeman, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730950460
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE OPCO, LLC
Location Address1112 SE REPUBLICAN AVETopeka, KS 66607-1614
Mailing Address302 Knights Run Ave Ste 900Tampa, FL 33602-5979
Organization SubpartNo
Authorized OfficialStuart LindemanAuthorized Official · (785) 233-0588
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1730950460 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.

1112 SE REPUBLICAN AVE, Topeka, KS 66607

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 17D0917457

Providence Living Center · Topeka, KS
Active · expires Jan 18, 2028
CLIA Number17D0917457
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorGorie Williams
Laboratory Phone(785) 233-0588
Laboratory LocationProvidence Living Center1112 SE Republican Road, Topeka, KS 66607
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
1112 SE REPUBLICAN AVE
TOPEKA, KS 66607
Skilled Nursing Facility
1112 SE REPUBLICAN AVE
TOPEKA, KS 66607

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 Providence Opco, LLC's NPI number?

The NPI number for Providence Opco, LLC is 1730950460. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Providence Opco, LLC located?

Providence Opco, LLC is located at 1112 SE Republican Ave, Topeka, KS 66607. The listed phone number is (785) 233-0588.

What is Providence Opco, LLC's specialty?

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

Does Providence Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0917457) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providence Opco, LLC accept?

Health plans from UnitedHealthcare list Providence Opco, 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 Providence Opco, LLC was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.