# RESIDENCE BEGONIA II AT CRESTVIEW 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:** 1740840180
- **Authorized official:** BEATRICE TANG DISASI (CEO)
- **Authorized official phone:** (316) 616-5306

## Contact information

- **Practice address:** 15 CRESTVIEW LAKES EST, WICHITA, KS 67220-2913
- **Practice address phone:** (316) 616-5306
- **Practice address fax:** (316) 201-6136
- **Mailing address:** 8714 E HARRY CT, WICHITA, KS 67207-4616
- **Mailing address phone:** (316) 616-5306
- **Mailing address fax:** (316) 201-6136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 06/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B087209 | KDADS | — |