SENIORCARE HOMES LLC
NPI 1639313067
Custodial Care Facility - Adult Care Home in Overland Park, KS

Active since April 29, 2009
6918 W 68TH ST, OVERLAND PARK, KS 66204(913) 236-0036 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About SENIORCARE HOMES LLC

This page provides the complete NPI Profile along with additional information for Seniorcare Homes Llc, a provider established in Overland Park, Kansas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1639313067 assigned on April 2009. The practitioner's primary taxonomy code is 311ZA0620X with license number B046040 (KS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jerald Leslie Pullins Jr. (President)

NPI
1639313067 Verify this NPI
Provider Name
SENIORCARE HOMES LLC
Entity Type
Organization
Location Address
6918 W 68TH ST OVERLAND PARK, KS 66204
Location Phone
(913) 236-0036
Mailing Address
5200 W 94TH TER SUITE 115 PRAIRIE VILLAGE, KS 66207
Mailing Phone
(913) 236-0036
Mailing Fax
(913) 432-3055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2009
Last Update Date
04-29-2009
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
B046040
License State
KS
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

B046036 (KS)

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. JERALD LESLIE PULLINS JR.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(913) 236-0036

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639313067, enumerated as an "organization" on April 29, 2009.

The provider is located at 6918 W 68TH ST OVERLAND PARK, KS 66204 and the phone number is (913) 236-0036.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.