VINTAGE PARK AT LOUISBURG LLC (NPI# 1588629448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588629448 |
| Entity Type | Organization |
| Organization Name | VINTAGE PARK AT LOUISBURG LLC |
| Practice Address |
202 S Rogers Rd Louisburg KS 66053-4064 |
| Practice Telephone | 9138375133 |
| Practice Fax Number | 9138375169 |
| Mailing Telephone | 9138375133 |
| Mailing Fax Number | 9138375169 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATT MOORE (SR VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 9132390660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N061008 | KS | Nursing & Custodial Care Facilities |
| Street Address |
202 S ROGERS RD |
| City | LOUISBURG |
| State | KS |
| Zip Code | 66053-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891169009 | Cpf Senior Living - Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128583 | Jaccard Chiropractic, P.a. | Chiropractor | 4 South 1st Street, #c, Louisburg, KS 66053 | 2020-09-11 |
| 1215318738 | Melissa Lynne Trumpp | Dentist | 4 S. Berkley Street, Louisburg, KS 66053 | 2015-06-10 |
| 1316335037 | Sharon Burgmeier | Occupational Therapist | 1220 South Broadway, Louisburg, KS 66053 | 2015-01-05 |
| 1649342593 | Damon M. Dennis | Chiropractor | 11 South Broadway, Louisburg, KS 66053 | 2006-11-15 |
| 1144301607 | Ryan L. Dansel Chiropractic, P.a. | Chiropractor | 1250 W. Amity, Louisburg, KS 66053 | 2006-10-18 |
| 1295949790 | Michelle Lorae Boyts | Physical Therapy Assistant | 105 S Broadway, Southview Homecare, Louisburg, KS 66053 | 2007-05-10 |
| 1346246105 | Charles Wesley Powell | Pediatrics | 201 N 13th St, Louisburg, KS 66053-3520 | 2005-06-24 |
| 1912966854 | The Children's Clinic of Miami County, L.L.C. | Clinic/Center | 201 N 13th St, Louisburg, KS 66053-3520 | 2006-03-20 |
| 1073697231 | William Bradley Hughes | Dentist | 4 S Berkley St, Louisburg, KS 66053-3578 | 2006-10-24 |
| 1235235656 | Andrew James Hill | Optometrist | 3 S Berkley St, Louisburg, KS 66053-3578 | 2006-09-15 |
| Find all providers in zip 66053 | ||||
| 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 |
|---|---|---|---|---|
| 1114242906 | Oreze Medical Investors, LLC | Assisted Living Facility | 844 Nc 39 Hwy S, Louisburg, NC 27549-7114 | 2010-04-05 |
| 1639351703 | Divine Family Care Home | Assisted Living Facility | 113 Justice St, Louisburg, NC 27549-2331 | 2007-11-30 |
| 1881819050 | Zollieville Rest Home No2 Inc | Assisted Living Facility | 1437 East River Rd, Louisburg, NC 27549-8584 | 2007-04-14 |
| 1023172178 | Carolyn Newell | Assisted Living Facility | 90 E.f. Cottrell Rd, Louisburg, NC 27549-8664 | 2006-12-21 |
| 1871653733 | Carebridge Assisted Living | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2006-12-11 |
| 1578118089 | Liberty Healthcare Group, LLC | Assisted Living Facility | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2019-08-02 |
| 1992214084 | Southern Living for Seniors of Louisburg Nc | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2017-09-21 |
| 1891169009 | Cpf Senior Living - Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2015-11-25 |
| 1942622154 | Unity Medical Group, Inc. | Assisted Living Facility | 844 Nc Highway 39 S, Louisburg, NC 27549-7114 | 2014-01-08 |
| 1619241833 | Autumn Wind, Inc. | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2012-03-06 |
| Find all providers in LOUISBURG | ||||
Please comment or provide details below to improve the information on VINTAGE PARK AT LOUISBURG LLC.
| 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.