Ccrc of Overland Park, LLC
NPI 1063946143 · Skilled Nursing Facility · Overland Park, KS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ccrc of Overland Park, LLC is a Skilled Nursing Facility organization in Overland Park, KS (NPI 1063946143).
Provider details
- NPI number
- 1063946143
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gilbert Wood, Manager of the LLC(913) 599-5705
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Colonial Village
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2019-02-20
Frequently asked questions
- What is Ccrc of Overland Park, LLC's NPI number?
- Ccrc of Overland Park, LLC's National Provider Identifier (NPI) is 1063946143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccrc of Overland Park, LLC?
- Ccrc of Overland Park, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccrc of Overland Park, LLC located?
- Ccrc of Overland Park, LLC's practice location on file with NPPES is 12500 W 137th St, Overland Park, KS 66221-4129.
- What is Ccrc of Overland Park, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccrc of Overland Park, LLC is (913) 730-3700.
- Does Ccrc of Overland Park, LLC accept Medicare?
- Ccrc of Overland Park, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ccrc of Overland Park, LLC?
- The authorized official listed on Ccrc of Overland Park, LLC's NPPES record is Gilbert Wood, Manager of the LLC. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccrc of Overland Park, LLC's NPI active?
- Yes — Ccrc of Overland Park, LLC's NPI (1063946143) is active in the NPPES registry as of the last update on 2019-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.