Village Lake

LBN: Village Lake
Village Lake is an health care organization with primary practice located at 265 W Village Lake Dr , Derby KS 67037-2612. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Village Lake can be contacted via phone (316) 284-7730, or through Claudio Rosa, Anaidy G via phone (316) 284-7730.

Contact Information

Primary practice address
265 W Village Lake Dr Derby KS 67037-2612
Phone: (316) 284-7730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Claudio Rosa, Anaidy G LSCSW, LCAC
Phone: (316) 284-7730

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1326897067
LBN Legal business name Village Lake
DBA Doing business as
Authorized official Claudio Rosa, Anaidy G LSCSW, LCAC
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2024
Last updated May 15th, 2024 - about 2 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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