PP
PROVIDENCE PLACE, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
KANSAS CITY, KS
Licensed since
2005
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1750385217
CMS Certification Number (CCN)175159
Agency details
Avg residents / day42.6
OwnershipFor profit - Corporation
Chain affiliationTHE ENSIGN GROUP
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMIKE WARREN
TitleADMINISTRATOR
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