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VINTAGE PARK AT OTTAWA LLC
NPI 1619185188
Assisted Living Facility in Ottawa, KS

Active since May 18, 2007
2250 S ELM ST, OTTAWA, KS 66067(785) 242-3715(785) 242-0188 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vintage Park At Ottawa Llc NPPES

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

VINTAGE PARK AT OTTAWA LLC (NPI 1619185188) is a healthcare organization registered as an assisted living facility in Ottawa, Kansas and active in the NPI registry since May 2007. The organization lists Matt Moore, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1619185188
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINTAGE PARK AT OTTAWA LLC
Location Address2250 S ELM STOttawa, KS 66067
Mailing Address2250 S Elm StOttawa, KS 66067 · (785) 242-3715 · Fax (785) 242-0188
Phone(785) 242-3715
Fax(785) 242-0188
Organization SubpartNo
Authorized OfficialMatt MooreSenior Vice President · (913) 239-0660
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619185188 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 · N030008
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.
2250 S ELM ST, Ottawa, KS 66067
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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.

CPF SENIOR LIVING - OTTAWA LLC
Assisted Living Facility
2250 S ELM ST
OTTAWA, KS 66067
Franklin County (785) 242-3715
JENNIFER KINTZEL
Occupational Therapist
2250 S ELM ST
OTTAWA, KS 66067
Franklin County (785) 226-3155
HOMESTEAD OF OTTAWA OPERATIONS, LLC
Assisted Living Facility
2250 S ELM ST
OTTAWA, KS 66067
Franklin County (785) 242-3715

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 Ottawa LLC's NPI number?

The NPI number for Vintage Park At Ottawa LLC is 1619185188. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Vintage Park At Ottawa LLC located?

Vintage Park At Ottawa LLC is located at 2250 S Elm St, Ottawa, KS 66067. The listed phone number is (785) 242-3715.

What is Vintage Park At Ottawa 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 Ottawa LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.