VINTAGE PARK AT WATERFRONT, LLC
NPI 1285804773
Assisted Living Facility in Wichita, KS

Active since March 11, 2008
900 N BAYSHORE DR, WICHITA, KS 67212(316) 945-3344 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About VINTAGE PARK AT WATERFRONT, LLC

This page provides the complete NPI Profile along with additional information for Vintage Park At Waterfront, Llc, a provider established in Wichita, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1285804773 assigned on March 2008. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Matt Moore (President)

NPI
1285804773 Verify this NPI
Provider Name
VINTAGE PARK AT WATERFRONT, LLC
Entity Type
Organization
Location Address
900 N BAYSHORE DR WICHITA, KS 67212
Location Phone
(316) 945-3344
Mailing Address
900 N BAYSHORE DR WICHITA, KS 67212
Mailing Phone
(316) 945-3344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2008
Last Update Date
03-11-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License State
KS
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATT MOORE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 282-5800

Reviews for VINTAGE PARK AT WATERFRONT, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212
Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212
Physical Therapist
900 N BAYSHORE DR
WICHITA, KS 67212
Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285804773, enumerated as an "organization" on March 11, 2008.

The provider is located at 900 N BAYSHORE DR WICHITA, KS 67212 and the phone number is (316) 945-3344.

Assisted Living Facility with taxonomy code 310400000X.