PARK WEST PLAZA
NPI 1922446350
Nursing Facility/Intermediate Care Facility in Wichita, KS

Active since June 07, 2013CLIA 17D1013610 · Waiver
505 N MAIZE RD, WICHITA, KS 67212(316) 729-4114 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park West Plaza NPPES

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

PARK WEST PLAZA (NPI 1922446350) is a healthcare organization registered as a nursing facility/intermediate care facility in Wichita, Kansas and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Christopher Wettig, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922446350
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMAIZE CCRC, LLC
Location Address505 N MAIZE RDWichita, KS 67212-4689
Mailing Address8415 E 21st St N Ste 100Wichita, KS 67206-2959 · (316) 616-6288 · Fax (316) 616-6255
Organization SubpartYesParent: Jupiter Tenant, Llc
Authorized OfficialChristopher WettigCfo · (316) 616-6288
Enumeration DateJune 7, 2013
NPI 1922446350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in KS · N087046
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

505 N MAIZE RD, Wichita, KS 67212

Other Names 1

Doing Business AsPark West Plaza

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 17D1013610

Park West Plaza · Wichita, KS
Active · expires Jun 11, 2027
CLIA Number17D1013610
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorKelly Thomas
Laboratory Phone(316) 729-4114
Laboratory LocationPark West Plaza505 N Maize Rd Attn Kira Robinson, Wichita, KS 67212
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 Maize Ccrc, LLC's NPI number?

The NPI number for Maize Ccrc, LLC is 1922446350. It was assigned to this organization in the NPPES registry on June 7, 2013. The provider is doing business as Park West Plaza.

Where is Maize Ccrc, LLC located?

Maize Ccrc, LLC is located at 505 N Maize Rd, Wichita, KS 67212. The listed phone number is (316) 729-4114.

What is Maize Ccrc, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Maize Ccrc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1013610) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maize Ccrc, LLC was last updated on June 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.