# VINTAGE PARK AT LENEXA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932164894
- **Authorized official:** MATT MOORE (SR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (913) 239-0660

## Contact information

- **Practice address:** 8710 CAENEN LAKE ROAD, LENEXA, KS 66216
- **Practice address phone:** (913) 894-6979
- **Practice address fax:** (913) 894-0901
- **Mailing address:** 8710 CAENEN LAKE RD, LENEXA, KS 66215-2069
- **Mailing address phone:** (913) 894-6979
- **Mailing address fax:** (913) 894-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N046037 | KS | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 08/22/2020