Vintage Park at Osawatomie LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NO61009 Issued in KS

Legal business name

VINTAGE PARK AT OSAWATOMIE LLC

Practice address

1520 Parker Ave
Osawatomie, KS 66064-1702

Phone

(913) 755-2167

Fax

(913) 755-4855

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By 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

Eddie Parades

Title

Sr Vice President of Operations

Phone

(210) 493-3165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235174749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PARKER AVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641702",
            "telephone_number": "913-755-2167",
            "fax_number": "913-755-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PARKER AVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641702",
            "telephone_number": "913-755-2167",
            "fax_number": "913-755-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PARK AT OSAWATOMIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADES",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "210-493-3165"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "NO61009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Osawatomie, KS
• Providers in Osawatomie, 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 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.