BROADMOOR ONE LLC
NPI 1790040327
Custodial Care Facility - Adult Care Home in Wichita, KS

Q: What is Broadmoor One LLC's NPI number?

The NPI number for Broadmoor One LLC is 1790040327. It was assigned to this organization in the NPPES registry on July 10, 2012.

Q: What is Broadmoor One LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Broadmoor One LLC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 10, 2012

2119 N BROADMOOR ST, WICHITA, KS 67206(316) 260-3625 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Broadmoor One Llc NPPES

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

BROADMOOR ONE LLC (NPI 1790040327) is a healthcare organization registered as an adult care home in Wichita, Kansas and active in the NPI registry since July 2012. The organization lists Max Cole, Owner, as its authorized official.

NPPES Registry Identity

NPI1790040327

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameBROADMOOR ONE LLC

Location Address2119 N BROADMOOR STWichita, KS 67206-1028

Mailing Address9435 E Central Ave Ste 200Wichita, KS 67206-2552 · (316) 683-0562

Phone(316) 260-3625

Organization SubpartNo

Authorized OfficialMax ColeOwner · (316) 683-0562

Enumeration DateJuly 10, 2012

✔ NPI 1790040327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in KS · B087182

Definition

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.

2119 N BROADMOOR ST, Wichita, KS 67206

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OXFORD WICHITA HOMES PLUS, LLC

Assisted Living Facility

2119 N BROADMOOR ST
WICHITA, KS 67206

Sedgwick County (316) 201-3210

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 Broadmoor One LLC's NPI number?

The NPI number for Broadmoor One LLC is 1790040327. It was assigned to this organization in the NPPES registry on July 10, 2012.

Where is Broadmoor One LLC located?

Broadmoor One LLC is located at 2119 N Broadmoor St, Wichita, KS 67206. The listed phone number is (316) 260-3625.

What is Broadmoor One LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Broadmoor One LLC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.