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MOUNDRIDGE MANOR INC.
NPI 1972578037
Nursing Facility/Intermediate Care Facility in Moundridge, KS

Active since February 22, 2006CLIA 17D0451123 · Waiver
5/5
Overall Rating
710 NORTH CHRISTIAN AVENUE, MOUNDRIDGE, KS 67107(620) 345-6364(620) 345-6376 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moundridge Manor Inc. NPPES

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

MOUNDRIDGE MANOR INC. (NPI 1972578037) is a healthcare organization registered as a nursing facility/intermediate care facility in Moundridge, Kansas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin W Unruh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972578037
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMOUNDRIDGE MANOR INC.
Location Address710 NORTH CHRISTIAN AVENUEMoundridge, KS 67107
Mailing AddressP.o. Box 800Moundridge, KS 67107 · (620) 345-6364 · Fax (620) 345-6376
Phone(620) 345-6364
Fax(620) 345-6376
Organization SubpartNo
Authorized OfficialKevin W UnruhAdministrator · (620) 345-6364
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJune 16, 2015
✔ NPI 1972578037 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 · N059003
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.
710 NORTH CHRISTIAN AVENUE, Moundridge, KS 67107
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Other Identifiers 1

Medicaid100109430AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 17D0451123

Moundridge Manor · Moundridge, KS
Active · expires Aug 31, 2026
CLIA Number17D0451123
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLeah Nightingale
Laboratory Phone(620) 345-6364
Laboratory LocationMoundridge Manor710 N Christian Ave, Moundridge, KS 67107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Moundridge Manor (CMS certification number 175553), from CMS Care Compare.

Moundridge Manor

Nursing home · Moundridge, KS
5/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number175553
Certified Beds78 beds75 residents per day on average
Medicare & Medicaid Participant SinceDecember 23, 2015
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
22.67
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 3.66 · LPN 0.68 · RN 0.59
4.93 hrs per resident per day
Weekend Nurse Staffing
4.08 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
26.2%
Registered Nurse Turnover
18.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
2 totaling $25,697.75
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Moundridge Manor Inc.'s NPI number?

The NPI number for Moundridge Manor Inc. is 1972578037. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Moundridge Manor Inc. located?

Moundridge Manor Inc. is located at 710 North Christian Avenue, Moundridge, KS 67107. The listed phone number is (620) 345-6364.

What is Moundridge Manor Inc.'s specialty?

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

Does Moundridge Manor Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0451123) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Moundridge Manor Inc. a Medicare-certified nursing home?

Yes. Moundridge Manor is a Medicare-certified nursing home with 78 certified beds.

What quality rating does Moundridge Manor Inc. have?

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

What insurance does Moundridge Manor 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 list Moundridge Manor 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 Moundridge Manor Inc. was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.