Vintage Park at Lenexa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N046037 Issued in KS

Legal business name

VINTAGE PARK AT LENEXA LLC

Practice address

8710 Caenen Lake Road
Lenexa, KS 66216

Phone

(913) 894-6979

Fax

(913) 894-0901

NPI assigned

Apr 20, 2006

Last updated

Aug 22, 2020By 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

Matt Moore

Title

Sr Vice President of Operations

Phone

(913) 239-0660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932164894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 CAENEN LAKE RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152069",
            "telephone_number": "913-894-6979",
            "fax_number": "913-894-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 CAENEN LAKE ROAD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66216",
            "telephone_number": "913-894-6979",
            "fax_number": "913-894-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PARK AT LENEXA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "913-239-0660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N046037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Elizabeth Vazzano, M.A., CCC-SLP
• Diane Marie Velasquez-Peralta, LCSW, LMSW
• Whitney Venegoni, ARNP
• Bryan E Vignery, LPC
• Abigail Viles, PA
• Virtis Health, LLC
• Vitas Healthcare Corporation Midwest
• Kendall Ellis Vogel
• Paula E Vogt, ARNP
• James T Voorhees, DDS LLC

• Assisted Living Facility in Lenexa, KS
• Providers in Lenexa, 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 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.