VINTAGE PLACE; NPI #1255643698

Contact Information

VINTAGE PLACE

1650 E 12TH AVE
EL DORADO, KS 67042-4300

Phone: 316-321-7777
Fax: 316-321-6115
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Assisted Living Facility	310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit	311500000X

Indicates primary specialty

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NPI Profile & details for VINTAGE PLACE

NPI # 1255643698

LBN Legal business name VINTAGE PLACE

Authorized official BRIAN WARREN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2010

Last updated 07/13/2010 - About 16 years ago

Identifiers

KS	License #	N008009
KS	Other	N008009	STATE ASSISTED LIVING PROVIDER LICENSE NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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