Organization Active NPI

Overland Park Senior Living

Doing business as Heritage of Overland Park

  • Alzheimer Center (Dementia Center)
  • Overland Park, KS
National Provider Identifier
1558640359
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
N046082 Issued in KS
Legal business name
OVERLAND PARK SENIOR LIVING
Doing business as
Heritage of Overland Park
Practice address
10101 W. 127TH Street
Overland Park, KS 66213
Phone
(913) 912-7800
Fax
(913) 912-7801
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Kip Pammenter
Title
Manager
Phone
(913) 912-7810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X N046082 KS Primary

Addresses

Primary practice location

10101 W. 127TH Street
Overland Park, KS 66213

Mailing address

10101 W 127TH St
Overland Park, KS 66213-3201
Phone (913) 912-7800

Other names 1

  • Heritage of 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": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1558640359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W 127TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662133201",
            "telephone_number": "913-912-7800",
            "fax_number": "913-912-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W. 127TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-912-7800",
            "fax_number": "913-912-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PARK SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PAMMENTER",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-912-7810"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "KS",
            "license": "N046082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage of 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 Nov 20, 2025; 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.