SUNRISE ASSISTED LIVING OF LENEXA (NPI# 1164631768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164631768 |
| Entity Type | Organization |
| Organization Name | SUNRISE ASSISTED LIVING OF LENEXA |
| Practice Address |
15055 W 87th Street Pkwy Lenexa KS 66215-5372 |
| Practice Telephone | 9133070665 |
| Practice Fax Number | 3193070673 |
| Mailing Telephone | 9133070665 |
| Mailing Fax Number | 3193070673 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN A BUCKHOLTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9133070665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N046071 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | ASSISTED LIVING FACILITY | N046071 | 01 |
| Street Address |
15055 W 87TH STREET PKWY |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801106364 | Cynthia Renee Rogers | Occupational Therapist | 15055 W 87th Street Pkwy, Lenexa, KS 66215-5372 | 2010-10-18 |
| 1962720995 | Kurtis Cowan | Physical Therapist | 15055 W 87th Street Pkwy, Lenexa, KS 66215-5372 | 2010-05-14 |
| 1306164397 | Mecah Downing Falk | Occupational Therapist | 15055 W 87th Street Pkwy, Lenexa, KS 66215-5372 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356715569 | Cpf Senior Living - Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Rd, Lenexa, KS 66215-2069 | 2015-11-25 |
| 1326274416 | Garden Villas of Lenexa | Assisted Living Facility | 9705 Monrovia St, Lenexa, KS 66215-1500 | 2009-06-03 |
| 1609936459 | Midwest Homestead of Lenexa Operations, LLC | Assisted Living Facility | 8740 Caenen Lake Rd, Lenexa, KS 66215-2069 | 2006-12-11 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| 1316356538 | Delmar Gardens of Lenexa, Inc. | Assisted Living Facility | 9705 Monrovia St, Lenexa, KS 66215-1500 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1306444294 | Rl Kansas City 1, LLC | Assisted Living Facility | 7170 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1750908091 | Agape Home Plus LLC | Assisted Living Facility | 6322 Peach Tree Ln, Wichita, KS 67218-1820 | 2020-07-02 |
| 1508490822 | American Vision Seasons Msp Overland Park LLC | Assisted Living Facility | 12701 Pflumm Rd, Overland Park, KS 66213-2317 | 2020-02-25 |
| 1841823473 | Willow | Assisted Living Facility | 2125 Highway 36, Wathena, KS 66090-4126 | 2020-02-21 |
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1053966572 | United Methodist Homes, Inc. | Assisted Living Facility | 7200 Sw Uxbridge Cir, Topeka, KS 66614-6095 | 2019-08-02 |
| 1598317588 | The Mapleton Andover LLC | Assisted Living Facility | 1419 W Central Ave, Andover, KS 67002-7202 | 2019-07-10 |
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.