Victoria Falls

LBN: Andover Senior Care, Llc
Victoria Falls is an health care organization with primary practice located at 224 E Central Ave , Andover KS 67002. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Andover Senior Care, Llc can be contacted via phone (316) 733-0654, or through Bush, Dennis via phone (316) 733-2645.

Contact Information

Primary practice address
224 E Central Ave Andover KS 67002
Phone: (316) 733-0654
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, Dennis
Phone: (316) 733-2645

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1689992752
LBN Legal business name Andover Senior Care, Llc
DBA Doing business as Victoria Falls
Authorized official Bush, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2010
Last updated Dec 7th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689992752 NPPES
Kansas Other 175520 PTAN
Kansas MEDICAID 200363120A PTAN
Kansas Other N008012 PTAN

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