VINTAGE PARK AT TONGANOXIE
NPI 1699149807
Assisted Living Facility in Tonganoxie, KS
About Vintage Park At Tonganoxie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINTAGE PARK AT TONGANOXIE (NPI 1699149807) is a healthcare organization registered as an assisted living facility in Tonganoxie, Kansas and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Jay Flatt, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D1100906
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 15, 2025
- Certificate Expiration Date
- June 14, 2027
- Laboratory Director
- BRANDY COONS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vintage Park At Tonganoxie to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699149807, enumerated as an "organization" on November 25, 2015.
The provider is located at 120 W 8TH ST TONGANOXIE, KS 66086 and the phone number is (913) 845-2204.
Assisted Living Facility with taxonomy code 310400000X.
