CPF SENIOR LIVING - NEODESHA LLC (NPI# 1174988711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174988711 |
| Entity Type | Organization |
| Organization Name | CPF SENIOR LIVING - NEODESHA LLC |
| Other Organization Name | VINTAGE PARK AT NEODESHA |
| Practice Address |
400 Fir St Neodesha KS 66757-1298 |
| Mailing Address |
980 N Michigan Ave Suite 1998 Chicago IL 60611-4501 |
| Practice Telephone | 6203252244 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | JAY FLATT (CFO) |
| Authorized Official Telephone | 3122734750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Vintage Park at Neodesha | Doing Business As Name - Organization |
| Street Address |
400 FIR ST |
| City | NEODESHA |
| State | KS |
| Zip Code | 66757-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| 1548782402 | Morningstar Care Homes of Neodesha LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2017-07-12 |
| 1558519785 | Vintage Park At Neodesha, LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205091378 | Aric Chandler Ross | Respiratory Therapist, Certified | 1943 Ottawa Rd, Neodesha, KS 66757 | 2008-07-28 |
| 1154543981 | Grene Vision Group LLC | Ophthalmology | 611 N Main, Neodesha, KS 66757 | 2007-05-02 |
| 1225155799 | New Beginnings Enterprises | Case Management | 1001 Wilson, Neodesha, KS 66757 | 2007-03-22 |
| 1679524771 | Ggnsc Neodesha LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2006-05-13 |
| 1760031751 | Neodesha Operator, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-09-11 |
| 1265991616 | Darla Hoard | Occupational Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-03-15 |
| 1659828598 | Neodesha Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2016-09-08 |
| 1912244294 | Jackie F Reding | Physical Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2013-01-07 |
| 1821347956 | Roxie Nicole Drawdy | Speech-Language Pathologist | 1626 N 8th St, Neodesha, KS 66757-1239 | 2012-09-05 |
| 1033186945 | Dwight E Blackwood | Optometrist | 611 Main St, Neodesha, KS 66757-1632 | 2006-03-01 |
| Find all providers in zip 66757 | ||||
| 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 |
|---|---|---|---|---|
| 1548782402 | Morningstar Care Homes of Neodesha LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2017-07-12 |
| 1558519785 | Vintage Park At Neodesha, LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 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 |
| 1750908091 | Agape Home Plus LLC | Assisted Living Facility | 6322 Peach Tree Ln, Wichita, KS 67218-1820 | 2020-07-02 |
| 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 | ||||
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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.