VINTAGE PARK AT OSAGE CITY, LLC (NPI# 1093963225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093963225 |
| Entity Type | Organization |
| Organization Name | VINTAGE PARK AT OSAGE CITY, LLC |
| Other Organization Name | VINTAGE PARK AT OSAGE CITY |
| Practice Address |
1403 Laing St Osage City KS 66523-9203 |
| Practice Telephone | 7855285095 |
| Practice Fax Number | 7855284867 |
| Mailing Telephone | 7855285095 |
| Mailing Fax Number | 7855284867 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MR. MATT MOORE (PRESIDENT) |
| Authorized Official Telephone | 9492825800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BEING APPLIED FOR | 05 |
| Other Name | Type Code |
|---|---|
| Vintage Park at Osage City | Other Name - Individual/Organization |
| Street Address |
1403 LAING ST |
| City | OSAGE CITY |
| State | KS |
| Zip Code | 66523-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083079628 | Cpf Senior Living - Osage City LLC | Assisted Living Facility | 1403 Laing St, Osage City, KS 66523-9203 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043386287 | David A Jacoby Od Chartered | Eyewear Supplier (Equipment, not the service) | 131 W Market St Ste A, Osage City, KS 66523 | 2006-11-28 |
| 1316047442 | Teresa Barker Sturm | Physical Therapist | 104 West Market, Suite B, Osage City, KS 66523 | 2006-09-25 |
| 1780791699 | Carrie A. Hagemann | Family Medicine | 131 W. Market, Suite B, Osage City, KS 66523 | 2006-08-24 |
| 1235243460 | Salt Creek Rehab LLC | Physical Therapy Assistant | 104 W Market St, Suite B, Osage City, KS 66523 | 2006-08-17 |
| 1669543393 | Melissa K Herdman | Nurse Practitioner | 131 W. Market, Osage City, KS 66523 | 2006-11-13 |
| 1528357480 | Christopher Scott Jenks | Family Medicine | 131 W Market St, Ste B, Osage City, KS 66523-1000 | 2011-03-31 |
| 1568899953 | Lindsey Buckman | Nurse Practitioner | 131 W Market St, Suite B, Osage City, KS 66523-1000 | 2013-10-01 |
| 1760410435 | James D Seeman | Family Medicine | 131 Market St, Suite B, Osage City, KS 66523-1040 | 2006-06-29 |
| 1023485802 | Kylie Hastings | Nurse Practitioner | 131 W Market St Ste B, Osage City, KS 66523-1099 | 2015-08-27 |
| 1730681818 | Jodi L Wulfkuhle | Nurse Practitioner | 131 W Market St Ste B, Osage City, KS 66523-1099 | 2018-03-05 |
| Find all providers in zip 66523 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932240678 | Peterson Assisted Living | Assisted Living Facility | 629 Holliday St, Osage City, KS 66523-1137 | 2007-02-08 |
| 1003442062 | Peterson Assisted Living, LLC | Assisted Living Facility | 629 Holliday St, Osage City, KS 66523-1137 | 2020-03-20 |
| 1083079628 | Cpf Senior Living - Osage City LLC | Assisted Living Facility | 1403 Laing St, Osage City, KS 66523-9203 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1306444294 | Rl Kansas City 1, LLC | Assisted Living Facility | 7170 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
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| 1508490822 | American Vision Seasons Msp Overland Park LLC | Assisted Living Facility | 12701 Pflumm Rd, Overland Park, KS 66213-2317 | 2020-02-25 |
| 1841823473 | Willow | Assisted Living Facility | 2125 Highway 36, Wathena, KS 66090-4126 | 2020-02-21 |
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1053966572 | United Methodist Homes, Inc. | Assisted Living Facility | 7200 Sw Uxbridge Cir, Topeka, KS 66614-6095 | 2019-08-02 |
| 1598317588 | The Mapleton Andover LLC | Assisted Living Facility | 1419 W Central Ave, Andover, KS 67002-7202 | 2019-07-10 |
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE CITY |
| Zip Code | 66523 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.