ANDOVER SENIOR CARE LLC NPI 1992850432

NPI Information

  • NPI: 1992850432
  • Provider Name: ANDOVER SENIOR CARE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: VICTORIA FALLS
  • CLIA Number: 17D2076304
  • Address: 408 E CENTRAL AVE
    ANDOVER, KS
    ZIP 67002
  • Phone: (316) 733-0334

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NPI Details

ANDOVER SENIOR CARE, LLC is an assisted living facility in Andover, 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. ANDOVER SENIOR CARE, LLC NPI is 1992850432. The provider is registered as an organization entity type.
The provider Is Doing Business As Victoria Falls.

The provider's business location address is:

408 E CENTRAL AVE
ANDOVER, KS
ZIP 67002-556
Phone: (316) 733-0334
Fax: (316) 733-0995

The provider's authorized official is Andrea F Law .
The authorized official title is Business Manager and has the following contact phone number (316) 733-2645.

The CLIA number assigned to this NPI record is 17D2076304 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/6/2024.

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 FacilityN-008011KANSASYes

What is NPI?

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

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