Vintage Park Apartments, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0179 Issued in IA

Legal business name

VINTAGE PARK APARTMENTS, INC

Practice address

810 E Van Buren St
Lenox, IA 50851-1622

Phone

(641) 333-2233

Fax

(641) 333-2237

NPI assigned

Apr 19, 2007

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

Mr. William Henderson

Title

President

Phone

(641) 336-2395

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285851642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E VAN BUREN ST",
            "city": "LENOX",
            "state": "IA",
            "postal_code": "508511622",
            "telephone_number": "641-333-2233",
            "fax_number": "641-333-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E VAN BUREN ST",
            "city": "LENOX",
            "state": "IA",
            "postal_code": "508511622",
            "telephone_number": "641-333-2233",
            "fax_number": "641-333-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PARK APARTMENTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-336-2395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414961",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTEDLIVINGCERTIFICATE",
            "identifier": "S0179",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pursuit of Independence
• Linda J Robinson, DO
• Darcy Rubenking, P.A.-C.
• Steven L Sawyer, DDS
• Debra Ann Springer, OTR
• Vintage Park Assisted Living LLC (Anew Healthcare and Rehab Lenox)

• Assisted Living Facility in Lenox, IA
• Providers in Lenox, IA by specialty
• Assisted Living Facility in Iowa

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.