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JOHNSONVILLE HOME LLC
NPI 1952590168
Custodial Care Facility - Adult Care Home in Kansas City, KS

Active since October 24, 2007
2419 N 22ND ST, KANSAS CITY, KS 66104(913) 371-3995(866) 372-9403 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnsonville Home Llc NPPES

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

JOHNSONVILLE HOME LLC (NPI 1952590168) is a healthcare organization registered as an adult care home in Kansas City, Kansas and active in the NPI registry since October 2007. The organization lists Tiffany L Johnson, Operator, as its authorized official.

NPPES Registry Identity

NPI1952590168
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJOHNSONVILLE HOME LLC
Location Address2419 N 22ND STKansas City, KS 66104-4612
Mailing Address2419 N 22nd StKansas City, KS 66104-4612 · (913) 371-3995 · Fax (866) 372-9403
Phone(913) 371-3995
Fax(866) 372-9403
Organization SubpartNo
Authorized OfficialTiffany L JohnsonOperator · (913) 371-3995
Enumeration DateOctober 24, 2007
✔ NPI 1952590168 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 · B105114
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.
2419 N 22ND ST, Kansas City, KS 66104
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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 Johnsonville Home LLC's NPI number?

The NPI number for Johnsonville Home LLC is 1952590168. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Johnsonville Home LLC located?

Johnsonville Home LLC is located at 2419 N 22nd St, Kansas City, KS 66104. The listed phone number is (913) 371-3995.

What is Johnsonville Home 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 Johnsonville Home LLC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.