CPF Senior Living - Waterfront LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CPF SENIOR LIVING - WATERFRONT LLC

Doing business as

Vintage Park at Waterfront

Practice address

900 N Bayshore Dr
Wichita, KS 67212-4807

Phone

(316) 945-3344

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Jay Flatt

Title

Cfo

Phone

(312) 273-4750

Specialties & licenses 1

Addresses

Other names 1

• Vintage Park at Waterfront Doing business as

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1144694357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE",
            "address_2": "SUITE 1998",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BAYSHORE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124807",
            "telephone_number": "316-945-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPF SENIOR LIVING - WATERFRONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-273-4750"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Park at Waterfront",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.