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VISTA PARK SENIOR LIVING NPI 1710382692


NPI Information

NPI: 1710382692
Provider Name: VISTA PARK SENIOR LIVING
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1226 S BYRON RD
WICHITA, KS
ZIP 67209
Phone: (316) 305-3412
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VISTA PARK SENIOR LIVING is an adult care home custodial care facility in Wichita, KS. The provider is 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. VISTA PARK SENIOR LIVING NPI is 1710382692. The provider is registered as an organization entity type.

The provider's business location address is:

1226 S BYRON RD
WICHITA, KS
ZIP 67209-812
Phone: (316) 305-3412
Fax: (316) 425-8181

The provider's authorized official is Elba Abreu .
The authorized official title is Owner and has the following contact phone number (316) 305-3412.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 11/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeB087207KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000000MEDICAIDKANSAS

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: 11/14/2023

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