CPF Senior Living - Gardner LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CPF SENIOR LIVING - GARDNER LLC

Doing business as

Vintage Park at Gardner

Practice address

869 S Juniper Ter
Gardner, KS 66030-1468

Phone

(913) 856-7643

NPI assigned

Nov 25, 2015

Last updated

Nov 25, 2015By the provider in NPPES

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 Gardner 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": "1174997373",
    "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": "869 S JUNIPER TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301468",
            "telephone_number": "913-856-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPF SENIOR LIVING - GARDNER 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Park at Gardner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Gardner, KS
• Providers in Gardner, KS by specialty
• Assisted Living Facility in Kansas

• 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.