# CCRC OF LENEXA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Westchester Village of Lenexa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144734088
- **Authorized official:** SCOTT E GULLEDGE (MANAGER BY CONTRACT)
- **Authorized official phone:** (913) 890-4780

## Contact information

- **Practice address:** 8505 PFLUMM RD, LENEXA, KS 66215-2468
- **Practice address phone:** (913) 307-2000
- **Practice address fax:** (913) 956-7725
- **Mailing address:** 11827 W 112TH ST STE 103, OVERLAND PARK, KS 66210-2718
- **Mailing address phone:** (913) 890-4780
- **Mailing address fax:** (913) 956-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2017
- **Last updated:** 11/30/2017