CPF Senior Living - Eureka LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CPF SENIOR LIVING - EUREKA LLC

Doing business as

Vintage Park at Eureka

Practice address

1820 E River St
Eureka, KS 67045-2156

Phone

(620) 583-7473

NPI assigned

Dec 28, 2015

Last updated

Dec 28, 2015By 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

Jay Flatt

Title

Cfo

Phone

(312) 273-4750

Specialties & licenses 1

Addresses

Other names 1

• Vintage Park at Eureka Doing business as

Locations

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1538524178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE",
            "address_2": "SUITE 1998",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E RIVER ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670452156",
            "telephone_number": "620-583-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPF SENIOR LIVING - EUREKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-273-4750"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Park at Eureka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lynn Burke, D.C.
• Carearc, Inc.
• Michael T Countryman, MS
• County of Greenwood
• County of Greenwood (Greenwood County Health Department)
• Kyoungok Im Crouch, APRN
• Michael J Duffy, O.D.
• Jennifer Eagleson, APRN
• Rebecca R Edson, RPT
• Margaret J Epperson, OTR

• Assisted Living Facility in Eureka, KS
• Providers in Eureka, 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 Dec 28, 2015; 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.