Andover Senior Care, LLC
Organization Active NPI Assisted Living Facility · Andover, KS
NPI 1992850432 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1992850432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- N-008011 (KS)
- Legal business name
- ANDOVER SENIOR CARE, LLC
- Practice address
- 408 E Central Ave
Andover, KS 67002-8556 - Phone
- (316) 733-0334
- Fax
- (316) 733-0995
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Andrea F Law
- Title
- Business Manager
- Phone
- (316) 733-2645
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2076304 | Victoria Falls | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N-008011 | KS | Yes |
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
- Belvilla Assisted Living
- Victoria Falls
Other providers in Andover, KS
- Andover Family Counseling, LLC
- Andover Family Medicine, LLC
- Andover KS Opco LLC
- Andover Medical Investors, LLC
- Andover Senior Care, LLC
- Andover Usd 385
- Ghanem A Aouad
- Aquarius Home Health
- Kilee Mae Armstrong
- ASC at Fho
All providers in Andover, KS · Assisted Living Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.