Colonial Oaks at Leawood Property Company LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL OAKS AT LEAWOOD PROPERTY COMPANY LLC

Doing business as

Colonial Oaks at Leawood Gardens

Practice address

5201 W. 143Rd Street
Overland Park, KS 66224

Phone

(913) 685-4800

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By 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

Carl Mittendorff

Title

Owner

Phone

(520) 878-3993

Specialties & licenses 1

Addresses

Other names 1

• Colonial Oaks at Leawood Gardens Doing business as

Locations

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1306424551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ROUTH STREET",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W. 143RD STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66224",
            "telephone_number": "913-685-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL OAKS AT LEAWOOD PROPERTY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MITTENDORFF",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-878-3993"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Oaks at Leawood Gardens",
            "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 Mar 30, 2021; 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.