# MEDICALODGES, 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
- **Other names:** Gran Villas Independence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942638051
- **Authorized official:** MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 709-0305

## Contact information

- **Practice address:** 621 S 2ND ST, INDEPENDENCE, KS 67301-4311
- **Practice address phone:** (620) 331-2260
- **Practice address fax:** (620) 331-7082
- **Mailing address:** 621 S 2ND ST, INDEPENDENCE, KS 67301-4311
- **Mailing address phone:** (620) 331-2260
- **Mailing address fax:** (620) 331-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N063005 | KS | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013