NPIMap

Organization Active NPI

American Vision Seasons MSP Overland Park LLC

Doing business as Forest Creek Memory Care at Overland Park

  • Assisted Living Facility
  • Overland Park, KS
National Provider Identifier
1508490822
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AMERICAN VISION SEASONS MSP OVERLAND PARK LLC
Doing business as
Forest Creek Memory Care at Overland Park
Practice address
12701 Pflumm Rd
Overland Park, KS 66213-2317
Phone
(913) 490-5035
NPI assigned
Feb 25, 2020
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Mr. Steven Bae
Title
Support
Phone
(503) 675-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12701 Pflumm Rd
Overland Park, KS 66213-2317

Mailing address

560 1St St Ste 104
Lake Oswego, OR 97034-3273
Phone (503) 675-3925

Other names 1

  • Forest Creek Memory Care at Overland Park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1508490822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST ST STE 104",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343273",
            "telephone_number": "503-675-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PFLUMM RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132317",
            "telephone_number": "913-490-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN VISION SEASONS MSP OVERLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SUPPORT",
        "authorized_official_telephone_number": "503-675-3925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Creek Memory Care at Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.