VINTAGE PARK AT TONGANOXIE, LLC (NPI# 1578798385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578798385 |
| Entity Type | Organization |
| Organization Name | VINTAGE PARK AT TONGANOXIE, LLC |
| Practice Address |
120 W. 8th Street Tonganoxie KS 66086 |
| Practice Telephone | 9138452204 |
| Practice Fax Number | 9138452358 |
| Mailing Telephone | 9138452204 |
| Mailing Fax Number | 9138452358 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | MR. MATT MOORE (PRESIDENT) |
| Authorized Official Telephone | 9492825800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N052008 | KS | Nursing & Custodial Care Facilities |
| Street Address |
120 W. 8TH STREET |
| City | TONGANOXIE |
| State | KS |
| Zip Code | 66086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629217336 | Jrr, Dds, LLC | Dentist | 504 E. 4th St., Tonganoxie, KS 66086 | 2009-02-19 |
| 1386768075 | Josh Adams | Specialist/Technologist | 2315 E. Sycamore St., Tonganoxie, KS 66086 | 2007-03-19 |
| 1144579558 | Physical Therapy Solutions LLC | Physical Therapist | 1198 Front St, Tonganoxie, KS 66086 | 2012-08-30 |
| 1255562542 | Karen Rogers | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2009-08-04 |
| 1285882878 | Chad Leever | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2008-09-08 |
| 1043544042 | Unified School District No. 464 | Clinic/Center | 330 East 24/40 Hwy, Tonganoxie, KS 66086-0199 | 2009-09-23 |
| 1770746521 | Susan Bozarth | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2008-07-02 |
| 1699952713 | Carrie Koch | Case Manager/Care Coordinator | 304 West, Tonganoxie, KS 66086-0252 | 2008-01-31 |
| 1356575468 | Kristi L Pletcher | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2009-05-05 |
| 1285878884 | Katy Hixson | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2009-04-27 |
| Find all providers in zip 66086 | ||||
| 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 |
|---|---|---|---|---|
| 1699149807 | Cpf Senior Living - Tonganoxie LLC | Assisted Living Facility | 120 W 8th St, Tonganoxie, KS 66086-8810 | 2015-11-25 |
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|---|---|---|---|---|
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| 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 | ||||
| City | TONGANOXIE |
| Zip Code | 66086 |
Please comment or provide details below to improve the information on VINTAGE PARK AT TONGANOXIE, LLC.
| 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.