PROVIDENCE PLACE, INC.
NPI 1750385217
Skilled Nursing Facility in Kansas City, KS

Active since June 10, 2005CLIA 17D0648203 · Waiver
8909 PARALLEL PKWY, KANSAS CITY, KS 66112(913) 596-4200(913) 596-4904 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Place, Inc. NPPES

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

PROVIDENCE PLACE, INC. (NPI 1750385217) is a healthcare organization registered as a skilled nursing facility in Kansas City, Kansas and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mike Warren, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750385217
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE PLACE, INC.
Location Address8909 PARALLEL PKWYKansas City, KS 66112-1689
Mailing Address8909 Parallel PkwyKansas City, KS 66112-1689 · (913) 596-4200 · Fax (913) 596-4904
Fax(913) 596-4904
Organization SubpartNo
Authorized OfficialMike WarrenAdministrator · (913) 596-4200
Enumeration DateJune 10, 2005
Last NPPES UpdateApril 26, 2013
NPI 1750385217 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 · N105013
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.
8909 PARALLEL PKWY, Kansas City, KS 66112

Other Identifiers 2

Medicaid200972460AKS
Medicare OSCAR/certification175159KS

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 17D0648203

Providence Place · Kansas City, KS
Active · expires Aug 31, 2026
CLIA Number17D0648203
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSrinath Tadakamalla
Laboratory Phone(913) 596-4200
Laboratory LocationProvidence Place8909 Parallel Pkwy, Kansas City, KS 66112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Speech-Language Pathologist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Occupational Therapist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Occupational Therapist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Skilled Nursing Facility
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Occupational Therapist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112
Physical Therapist
8909 PARALLEL PKWY
KANSAS CITY, KS 66112

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 Place, Inc.'s NPI number?

The NPI number for Providence Place, Inc. is 1750385217. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Providence Place, Inc. located?

Providence Place, Inc. is located at 8909 Parallel Pkwy, Kansas City, KS 66112. The listed phone number is (913) 596-4200.

What is Providence Place, Inc.'s specialty?

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

Does Providence Place, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0648203) 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 Providence Place, Inc. was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.