VINTAGE PARK AT HOLTON
NPI 1730337965
Assisted Living Facility in Holton, KS

Active since August 29, 2008
410 JUNIPER DR, HOLTON, KS 66436(785) 364-5051(785) 364-5010 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vintage Park At Holton NPPES

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

VINTAGE PARK AT HOLTON (NPI 1730337965) is a healthcare organization registered as an assisted living facility in Holton, Kansas and active in the NPI registry since August 2008. The organization lists Matt Moore, President, as its authorized official.

NPPES Registry Identity

NPI1730337965
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINTAGE PARK AT HOLTON, LLC
Location Address410 JUNIPER DRHolton, KS 66436-1535
Mailing Address410 Juniper DrHolton, KS 66436-1535 · (785) 364-5051 · Fax (785) 364-5010
Fax(785) 364-5010
Organization SubpartNo
Authorized OfficialMatt MoorePresident · (949) 282-5800
Enumeration DateAugust 29, 2008
NPI 1730337965 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.
410 JUNIPER DR, Holton, KS 66436

Other Names 1

Other NameVintage Park At Holton

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
410 JUNIPER DR
HOLTON, KS 66436
Assisted Living Facility
410 JUNIPER DR
HOLTON, KS 66436
Clinic/Center (Adult Day Care)
410 JUNIPER DR
HOLTON, KS 66436

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 Holton, LLC's NPI number?

The NPI number for Vintage Park At Holton, LLC is 1730337965. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is also known as Vintage Park At Holton.

Where is Vintage Park At Holton, LLC located?

Vintage Park At Holton, LLC is located at 410 Juniper Dr, Holton, KS 66436. The listed phone number is (785) 364-5051.

What is Vintage Park At Holton, 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 Holton, LLC was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.