# BONNER SPRINGS LIVING, 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:** Bonner Springs Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578117958
- **Authorized official:** MR. WILLIAM MATTHEW NOVOTNY (CEO)
- **Authorized official phone:** (785) 789-4750

## Contact information

- **Practice address:** 520 E MORSE AVE, BONNER SPRINGS, KS 66012-1911
- **Practice address phone:** (913) 441-2515
- **Mailing address:** 1213 HYLTON HEIGHTS RD STE 129, MANHATTAN, KS 66502-2812
- **Mailing address phone:** (785) 789-4750

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 07/24/2019