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LEGEND SENIOR LIVING
NPI 1235253642
Assisted Living Facility in Coffeyville, KS

Active since March 19, 2007CLIA 17D0972227 · Waiver
3800 ASBURY DR, COFFEYVILLE, KS 67337(620) 251-6270 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legend Senior Living NPPES

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

LEGEND SENIOR LIVING (NPI 1235253642) is a healthcare organization registered as an assisted living facility in Coffeyville, Kansas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Mandy L Farrow, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1235253642
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASBURY VILLAGE
Location Address3800 ASBURY DRCoffeyville, KS 67337-9153
Mailing Address3800 Asbury DrCoffeyville, KS 67337-9153 · (620) 251-6270
Phone(620) 251-6270
Organization SubpartNo
Authorized OfficialMandy L FarrowExecutive Assistant · (316) 616-6218
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235253642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N063012
Definition

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.

3800 ASBURY DR, Coffeyville, KS 67337
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Other Names 1

Other NameLegend Senior Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0972227

Asbury Village · Coffeyville, KS
Active · expires Apr 2, 2028
CLIA Number17D0972227
Laboratory TypeOther
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorAmanda Augustine
Laboratory Phone(620) 251-6270
Laboratory LocationAsbury Village3800 Asbury Dr, Coffeyville, KS 67337
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Asbury Village's NPI number?

The NPI number for Asbury Village is 1235253642. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as Legend Senior Living.

Where is Asbury Village located?

Asbury Village is located at 3800 Asbury Dr, Coffeyville, KS 67337. The listed phone number is (620) 251-6270.

What is Asbury Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Asbury Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0972227) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Asbury Village was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.