# MANOR CARE OF OVERLAND PARK KS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ManorCare Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275571911
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 5211 W 103RD ST, OVERLAND PARK, KS 66207-3154
- **Practice address phone:** (913) 383-2569
- **Practice address fax:** (913) 383-2611
- **Mailing address:** 333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 252-5541
- **Mailing address fax:** (419) 252-5548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N-046-031 | KS | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 04/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200541100A | — | KS |