Nursing Facility (KS NF) — Kansas City, Wyandotte County, KS. 45 licensed beds. Licensed by Kansas KDADS.
Providence Place is a Kansas Nursing Facility (NF) in Kansas City (Wyandotte County, KS), KDADS state ID N105013, licensed for 45 beds.
| Facility | Providence Place |
|---|---|
| Licensee name on file | Streetcar Healthcare |
| Address | 8909 Parallel Parkway, Kansas City, KS 66112 |
| Phone (KDADS record) | (913) 596-4200 |
| Licensing agency | Kansas Department for Aging and Disability Services (KDADS), Survey, Certification and Credentialing Commission |
| KDADS state ID (license) | N105013 |
| License categories | Nursing Facility |
| Licensed beds by category | Nursing Facility (NF): 45 beds |
| Status | Active — listed in the KDADS Adult Care Home Directory (last directory change April 30, 2024: lessee) |
| First licensed | Not published by KDADS; posted survey records go back to April 12, 2011 |
| Building owner | Prime Healthcare Foundation - Real Estate (Owner - Limited Liability Company (LLC)) |
| Operator / lessee | Streetcar Healthcare |
| Management firm | None listed |
| Administrator of record | Michael Brooks |
| CMS certification number | 175159 |
| Enforcement / disciplinary action | None reported in the KDADS directory. KDADS posts survey deficiency reports and plans of correction, but not civil penalties or license actions |
KDADS lists 15 survey deficiency reports for Providence Place, the latest ending August 12, 2025.
| Survey dates | Survey type | Plan of correction | Report |
|---|---|---|---|
| August 10, 2025 – August 12, 2025 | Licensure resurvey | Filed September 16, 2025 | |
| October 30, 2023 – November 1, 2023 | Licensure resurvey | Filed November 20, 2023 | |
| March 28, 2022 – March 30, 2022 | Licensure resurvey | Filed April 29, 2022 | |
| February 2, 2021 – February 4, 2021 | Licensure resurvey | Filed February 19, 2021 | |
| July 1, 2020 | Infection-control survey | Filed July 31, 2020 | |
| April 2, 2019 – April 4, 2019 | State survey | — | |
| June 18, 2018 – June 21, 2018 | State survey | Filed July 20, 2018 | |
| November 28, 2016 – December 6, 2016 | Complaint investigation | — |
KDADS page links expire per session, so search by state ID rather than bookmarking the page. The newest posted Statement of Deficiencies (survey ending August 12, 2025) opens directly here: KDADS PDF.
Kansas KDADS licenses Providence Place as a Kansas Nursing Facility (NF): a facility that operates 24 hours a day caring for six or more residents whose functional impairments require skilled nursing care.
Because it is Medicare/Medicaid-certified (CCN 175159), federal survey results, staffing and quality measures are on Medicare Care Compare.
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Missouri side (Jackson, Clay, Platte, Cass counties): licenses, levels of care, capacity and Alzheimer's special care unit flags come from the Missouri Department of Health and Senior Services (DHSS) LTC Directory (file updated October 5, 2026); inspections and complaint investigations from DHSS Show Me Long Term Care.
Kansas side (Johnson, Wyandotte counties): state ID, license categories, beds per category, owner and operator, and posted Statements of Deficiencies come from the Kansas Department for Aging and Disability Services (KDADS) Adult Care Home Directory.
Listings are active licenses only. We re-pull both states quarterly. Last updated: October 24, 2026 · Last verified: October 2026.
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