Organization
VILLAGE SHALOM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW EARL LEWIS (PRESIDENT/CEO)
(913) 266-8400
Entity
Organization
Contact information
Practice address
5500 W 123RD ST, OVERLAND PARK, KS 66209-3193
(913) 317-2600
Mailing address
5500 W 123RD ST, OVERLAND PARK, KS 66209-3193
(913) 317-2600
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
N046054
KS
310400000X
Assisted Living Facility
N046054
KS
311500000X
Alzheimer Center (Dementia Center)
N046054
KS
314000000X
Skilled Nursing Facility
Primary
N046054
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112060A
—
KS
01
—
90924016
BCBS PROVIDER NUMBER
KS
Enumeration date
03/31/2006
Last updated
01/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us