VINTAGE PARK AT NEODESHA
NPI 1558519785
Assisted Living Facility in Neodesha, KS

Active since August 29, 2008
400 FIR ST, NEODESHA, KS 66757(620) 325-2244(620) 325-2762 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vintage Park At Neodesha NPPES

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

VINTAGE PARK AT NEODESHA (NPI 1558519785) is a healthcare organization registered as an assisted living facility in Neodesha, Kansas and active in the NPI registry since August 2008. The organization lists Matt Moore, President, as its authorized official.

NPPES Registry Identity

NPI1558519785
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINTAGE PARK AT NEODESHA, LLC
Location Address400 FIR STNeodesha, KS 66757-1298
Mailing Address400 Fir StNeodesha, KS 66757-1298 · (620) 325-2244 · Fax (620) 325-2762
Fax(620) 325-2762
Organization SubpartNo
Authorized OfficialMatt MoorePresident · (949) 282-5800
Enumeration DateAugust 29, 2008
NPI 1558519785 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.

400 FIR ST, Neodesha, KS 66757

Other Names 1

Other NameVintage Park At Neodesha

Other Identifiers 1

MedicaidBEING APPLIED FORKS

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.

Assisted Living Facility
400 FIR ST
NEODESHA, KS 66757
Assisted Living Facility
400 FIR ST
NEODESHA, KS 66757
Clinic/Center (Adult Day Care)
400 FIR ST
NEODESHA, KS 66757

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 Vintage Park At Neodesha, LLC's NPI number?

The NPI number for Vintage Park At Neodesha, LLC is 1558519785. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is also known as Vintage Park At Neodesha.

Where is Vintage Park At Neodesha, LLC located?

Vintage Park At Neodesha, LLC is located at 400 Fir St, Neodesha, KS 66757. The listed phone number is (620) 325-2244.

What is Vintage Park At Neodesha, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vintage Park At Neodesha, LLC was last updated on August 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.