LIFESPRING OF ANDOVER LLC
NPI 1104771419
Substance Abuse Rehabilitation Facility in Andover, KS

Active since March 02, 2026
224 E CENTRAL AVE, ANDOVER, KS 67002(612) 369-2094 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifespring Of Andover Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPRING OF ANDOVER LLC (NPI 1104771419) is a healthcare organization registered as a substance abuse rehabilitation facility in Andover, Kansas and active in the NPI registry since March 2026. The organization lists Peter Jesh, Manager, as its authorized official.

NPPES Registry Identity

NPI1104771419
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIFESPRING OF ANDOVER LLC
Location Address224 E CENTRAL AVEAndover, KS 67002-8580
Mailing Address1010 W Saint Germain St Ste 750Saint Cloud, MN 56301-3432 · (612) 369-2094
Organization SubpartNo
Authorized OfficialPeter JeshManager · (612) 369-2094
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1104771419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
224 E CENTRAL AVE, Andover, KS 67002

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
224 E CENTRAL AVE
ANDOVER, KS 67002
Skilled Nursing Facility
224 E CENTRAL AVE
ANDOVER, KS 67002
Skilled Nursing Facility
224 E CENTRAL AVE
ANDOVER, KS 67002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespring Of Andover LLC's NPI number?

The NPI number for Lifespring Of Andover LLC is 1104771419. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Lifespring Of Andover LLC located?

Lifespring Of Andover LLC is located at 224 E Central Ave, Andover, KS 67002. The listed phone number is (612) 369-2094.

What is Lifespring Of Andover LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Lifespring Of Andover LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.