National Provider Identifier Database

VINTAGE PLACE
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.


Contact Information

VINTAGE PLACE
1650 E 12TH AVE
EL DORADO, KS67042-4300
Phone: 316-321-7777
Fax: 316-321-6115
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for VINTAGE PLACE

NPI Number 1255643698
Legal business name
LBN
VINTAGE PLACE
Authorized official BRIAN WARREN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2010
Last updated 07/13/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: N008009
  • KS Other: N008009 STATE ASSISTED LIVING PROVIDER LICENSE NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for VINTAGE PLACE

There are currently no reviews for VINTAGE PLACE


NPIdb - Home
v2.201