ASBURY VILLAGE NPI 1235253642

NPI Information

  • NPI: 1235253642
  • Provider Name: ASBURY VILLAGE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: LEGEND SENIOR LIVING
  • CLIA Number: 17D0972227
  • Address: 3800 ASBURY DR
    COFFEYVILLE, KS
    ZIP 67337
  • Phone: (620) 251-6270

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NPI Details

ASBURY VILLAGE is an assisted living facility in Coffeyville, KS. The provider is 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. ASBURY VILLAGE NPI is 1235253642. The provider is registered as an organization entity type.
The provider Other Name Is Legend Senior Living.

The provider's business location address is:

3800 ASBURY DR
COFFEYVILLE, KS
ZIP 67337-153
Phone: (620) 251-6270

The provider's authorized official is Mandy L Farrow .
The authorized official title is Executive Assistant and has the following contact phone number (316) 616-6218.

The CLIA number assigned to this NPI record is 17D0972227 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityN063012KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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