Active NPI
Andover Senior Care, LLC
Doing business as Belvilla Assisted Living
- Assisted Living Facility
- Andover, KS
National Provider Identifier
1992850432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- N-008011
- Legal business name
- ANDOVER SENIOR CARE, LLC
- Doing business as
- Belvilla Assisted Living
Victoria Falls - Practice address
- 408 E Central Ave
Andover, KS 67002-8556 - Phone
- (316) 733-0334
- Fax
- (316) 733-0995
- NPI assigned
- Jan 24, 2007
- Last updated
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea F Law
- Title
- Business Manager
- Phone
- (316) 733-2645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N-008011 | KS | Primary |
Addresses
Primary practice location
408 E Central Ave
Andover, KS 67002-8556
Mailing address
324 W Central Ave Ste D
Andover, KS 67002-9694
Phone (316) 733-2675
Other names 2
- Belvilla Assisted Living
- Victoria Falls
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2076304 | Victoria Falls | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1992850432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W CENTRAL AVE STE D",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029694",
"telephone_number": "316-733-2675",
"fax_number": "316-733-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E CENTRAL AVE",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028556",
"telephone_number": "316-733-0334",
"fax_number": "316-733-0995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDOVER SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "LAW",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "316-733-2645"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "KS",
"license": "N-008011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Belvilla Assisted Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Victoria Falls",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Victoria Falls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.