# ANDOVER MEDICAL INVESTORS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Care Center of Andover
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194771410
- **Authorized official:** CINDY S. CROSS (ASSISTANT SECRETARY)
- **Authorized official phone:** (423) 473-5867

## Contact information

- **Practice address:** 621 W 21ST ST, ANDOVER, KS 67002-8498
- **Practice address phone:** (316) 733-1349
- **Practice address fax:** (316) 733-0919
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5751
- **Mailing address fax:** (423) 339-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N008007 | KS | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108010A | — | KS |