# VINTAGE PARK AT ATCHISON 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558306605
- **Authorized official:** EDDIE PARADES (SR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (210) 493-3165

## Contact information

- **Practice address:** 1301 N 4TH ST, ATCHISON, KS 66002-1207
- **Practice address phone:** (913) 367-2655
- **Practice address fax:** (913) 367-0642
- **Mailing address:** 1301 N 4TH ST, ATCHISON, KS 66002-1207
- **Mailing address phone:** (913) 367-2655
- **Mailing address fax:** (913) 367-0642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N00300S | KS | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020