Vintage Park at Stanley LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N046069 Issued in KS

Legal business name

VINTAGE PARK AT STANLEY LLC

Practice address

14430 Metcalf Ave
Overland Park, KS 66223-2989

Phone

(913) 897-1414

Fax

(913) 897-1441

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Matt Moore

Title

Sr Vice President of Operations

Phone

(913) 239-0660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477518397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232989",
            "telephone_number": "913-897-1414",
            "fax_number": "913-897-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232989",
            "telephone_number": "913-897-1414",
            "fax_number": "913-897-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PARK AT STANLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "913-239-0660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N046069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Andrea Arroyo Villanueva, M.D.
• Amelia Villarreal
• Lance M Villeneuve, MD, PHD
• Richard P Viloria, DDS
• Bradley Duncan Vince, D.O.
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• Assisted Living Facility in Overland Park, KS
• Providers in Overland Park, 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.