# PRESBYTERIAN MANORS, INC.

> 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
- **Parent organization:** PRESBYTERIAN MANORS, INC.
- **Other names:** Aberdeen Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316058373
- **Legal business name:** PRESBYTERIAN MANORS, INC.
- **Authorized official:** BEVERLY WOODSMALL (CFO/TREASURER)
- **Authorized official phone:** (316) 652-6242

## Contact information

- **Practice address:** 17500 W 119TH ST, OLATHE, KS 66061-9524
- **Practice address phone:** (913) 599-6100
- **Practice address fax:** (913) 599-3810
- **Mailing address:** PO BOX 20440, WICHITA, KS 67208-1440
- **Mailing address phone:** (316) 685-1100
- **Mailing address fax:** (316) 685-2900

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100112090A | — | KS |
| 01 | — | 17D0988082 | CLIA | KS |
| 01 | — | 709612 | BLUE CROSS | KS |