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Ccrc of Overland Park, LLC — NPI 1063946143, Overland Park, KS | NPI Central

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NPI 1063946143

OrganizationActive

Ccrc of Overland Park, LLC

NPI 1063946143 · Skilled Nursing Facility · Overland Park, KS

Provider details

NPI number: 1063946143
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Gilbert Wood, Manager of the LLC(913) 599-5705

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Practice location

12500 W 137th St

Overland Park, KS 66221-4129

Phone: (913) 730-3700

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

12500 W. 137th Street

Overland Park, KS 66221

Other names (DBA / former)

Doing business as: Colonial Village

Registry dates

Enumerated: 2017-04-17
Last updated: 2019-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.