VINTAGE PARK AT LENEXA
NPI 1356715569
Assisted Living Facility in Lenexa, KS

Active since November 25, 2015
8710 CAENEN LAKE RD, LENEXA, KS 66215(913) 894-6979 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vintage Park At Lenexa NPPES

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

VINTAGE PARK AT LENEXA (NPI 1356715569) is a healthcare organization registered as an assisted living facility in Lenexa, Kansas and active in the NPI registry since November 2015. The organization lists Jay Flatt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356715569
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCPF SENIOR LIVING - LENEXA LLC
Location Address8710 CAENEN LAKE RDLenexa, KS 66215-2069
Mailing Address980 N Michigan Ave, Suite 1998Chicago, IL 60611-4501
Organization SubpartNo
Authorized OfficialJay FlattCfo · (312) 273-4750
Enumeration DateNovember 25, 2015
NPI 1356715569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

8710 CAENEN LAKE RD, Lenexa, KS 66215

Other Names 1

Doing Business AsVintage Park At Lenexa

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 17D1020727

Vintage Park At Lenexa · Lenexa, KS
Expired · Dec 29, 2025
CLIA Number17D1020727
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 30, 2023
Certificate Expiration DateDecember 29, 2025
Laboratory DirectorLakisha Williams
Laboratory Phone(913) 894-6979
Laboratory LocationVintage Park At Lenexa8710 Caenen Lake Road, Lenexa, KS 66215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
8710 CAENEN LAKE RD
LENEXA, KS 66215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356715569, enumerated as an "organization" on November 25, 2015.

The provider is located at 8710 CAENEN LAKE RD LENEXA, KS 66215 and the phone number is (913) 894-6979.

Assisted Living Facility with taxonomy code 310400000X.