MEMORIAL HOME, INC.
NPI 1801896782
Skilled Nursing Facility in Moundridge, KS

Active since July 21, 2005
4/5
Overall Rating
86 22ND AVE, MOUNDRIDGE, KS 67107(620) 345-2901(620) 345-2937 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Home, Inc. NPPES

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

MEMORIAL HOME, INC. (NPI 1801896782) is a healthcare organization registered as a skilled nursing facility in Moundridge, Kansas and active in the NPI registry since July 2005. The organization lists Jason T Stucky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801896782
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEMORIAL HOME, INC.
Location Address86 22ND AVEMoundridge, KS 67107-7003
Mailing Address86 22nd AveMoundridge, KS 67107-7003 · (620) 345-2901 · Fax (620) 345-2937
Fax(620) 345-2937
Organization SubpartNo
Authorized OfficialJason T StuckyCeo · (620) 345-2901
Enumeration DateJuly 21, 2005
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
NPI 1801896782 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.
86 22ND AVE, Moundridge, KS 67107

Other Identifiers 1

Medicaid100108790KS

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pine Village (CMS certification number 175414), from CMS Care Compare.

Pine Village

Nursing home · Moundridge, KS
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number175414
Certified Beds74 beds71 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1997
Resident & Family CouncilResident and family councils
Continuing care retirement community 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
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
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.
26
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 3.56 · LPN 1.12 · RN 0.5
5.17 hrs per resident per day
Weekend Nurse Staffing
4.33 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.
48.7%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Fines
6 totaling $19,087.83
Medicare Payment Denials
0
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

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

Occupational Therapist
86 22ND AVE
MOUNDRIDGE, KS 67107
Occupational Therapy Assistant
86 22ND AVE
MOUNDRIDGE, KS 67107
Physical Therapist
86 22ND AVE
MOUNDRIDGE, KS 67107

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 Memorial Home, Inc.'s NPI number?

The NPI number for Memorial Home, Inc. is 1801896782. It was assigned to this organization in the NPPES registry on July 21, 2005.

Where is Memorial Home, Inc. located?

Memorial Home, Inc. is located at 86 22nd Ave, Moundridge, KS 67107. The listed phone number is (620) 345-2901.

What is Memorial Home, Inc.'s specialty?

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

Is Memorial Home, Inc. a Medicare-certified nursing home?

Yes. Pine Village is a Medicare-certified nursing home with 74 certified beds.

What quality rating does Memorial Home, Inc. have?

CMS rates Pine Village 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Memorial Home, Inc. 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 Memorial Home, Inc. 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 Memorial Home, Inc. was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.