Organization Active NPI

CPF Senior Living - Ottawa LLC

Doing business as Vintage Park at Ottawa

  • Assisted Living Facility
  • Ottawa, KS
National Provider Identifier
1790159903
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CPF SENIOR LIVING - OTTAWA LLC
Doing business as
Vintage Park at Ottawa
Practice address
2250 S Elm St
Ottawa, KS 66067-4003
Phone
(785) 242-3715
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2250 S Elm St
Ottawa, KS 66067-4003

Mailing address

980 N Michigan Ave
Suite 1998
Chicago, IL 60611-4501

Other names 1

  • Vintage Park at Ottawa 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": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1790159903",
    "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": "2250 S ELM ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660674003",
            "telephone_number": "785-242-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPF SENIOR LIVING - OTTAWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage Park at Ottawa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, KS

Sources for this page

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