Vintage Place of Russell, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N-084-007 Issued in KS

Legal business name

VINTAGE PLACE OF RUSSELL, INC.

Practice address

1070 E Wichita Ave
Russell, KS 67665-2452

Phone

(785) 483-5882

Fax

(785) 483-2797

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Rockers

Title

Administrator

Phone

(785) 483-5882

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134243660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652452",
            "telephone_number": "785-483-5882",
            "fax_number": "785-483-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652452",
            "telephone_number": "785-483-5882",
            "fax_number": "785-483-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PLACE OF RUSSELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCKERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-483-5882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N-084-007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Russell, KS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.