Organization Active NPI

Waterfront Inn Assisted Living, L.L.C.

  • Assisted Living Facility
  • Wichita, KS
National Provider Identifier
1568682136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N087039 Issued in KS
Legal business name
WATERFRONT INN ASSISTED LIVING, L.L.C.
Doing business as
Waterfront Inn Assisted Living at Sandpiper Bay
Practice address
900 N Bayshore Dr
Wichita, KS 67212-4807
Phone
(316) 945-3344
Fax
(316) 945-3344
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert W. Redman
Title
Managing Member
Phone
(816) 415-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N087039 KS Primary

Addresses

Primary practice location

900 N Bayshore Dr
Wichita, KS 67212-4807

Mailing address

900 N Bayshore Dr
Wichita, KS 67212-4807
Phone (316) 945-3344

Other names 1

  • Waterfront Inn Assisted Living at Sandpiper Bay 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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568682136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N BAYSHORE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124807",
            "telephone_number": "316-945-3344",
            "fax_number": "316-945-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BAYSHORE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124807",
            "telephone_number": "316-945-3344",
            "fax_number": "316-945-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT INN ASSISTED LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "816-415-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N087039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterfront Inn Assisted Living at Sandpiper Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • 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.