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VINTAGE PARK AT FREDONIA
NPI 1922256155
Assisted Living Facility in Fredonia, KS

Active since August 29, 2008
2111 E WASHINGTON ST, FREDONIA, KS 66736(620) 378-2329(620) 378-2792 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vintage Park At Fredonia NPPES

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

VINTAGE PARK AT FREDONIA (NPI 1922256155) is a healthcare organization registered as an assisted living facility in Fredonia, Kansas and active in the NPI registry since August 2008. The organization lists Matt Moore, President, as its authorized official.

NPPES Registry Identity

NPI1922256155
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINTAGE PARK AT FREDONIA, LLC
Location Address2111 E WASHINGTON STFredonia, KS 66736-1757
Mailing Address2111 E Washington StFredonia, KS 66736-1757 · (620) 378-2329 · Fax (620) 378-2792
Phone(620) 378-2329
Fax(620) 378-2792
Organization SubpartNo
Authorized OfficialMatt MoorePresident · (949) 282-5800
Enumeration DateAugust 29, 2008
✔ NPI 1922256155 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 · BEING APPLIED FOR
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.
2111 E WASHINGTON ST, Fredonia, KS 66736
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Other Names 1

Other NameVintage Park At Fredonia

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.

MEDICALODGES, INC.
Clinic/Center (Adult Day Care)
2111 E WASHINGTON ST
FREDONIA, KS 66736
Wilson County (620) 378-2329
CPF SENIOR LIVING - FREDONIA LLC
Assisted Living Facility
2111 E WASHINGTON ST
FREDONIA, KS 66736
Wilson County (620) 378-2329
MORNINGSTAR CARE HOMES, LLC
Assisted Living Facility
2111 E WASHINGTON ST
FREDONIA, KS 66736
Wilson County (620) 378-2329

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 Fredonia, LLC's NPI number?

The NPI number for Vintage Park At Fredonia, LLC is 1922256155. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is also known as Vintage Park At Fredonia.

Where is Vintage Park At Fredonia, LLC located?

Vintage Park At Fredonia, LLC is located at 2111 E Washington St, Fredonia, KS 66736. The listed phone number is (620) 378-2329.

What is Vintage Park At Fredonia, 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 Fredonia, 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.