OrganizationActive
Community Living Opportunities
NPI 1073655254 · Mental Illness Intermediate Care Facility · Lenexa, KS
Provider details
- NPI number
- 1073655254
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Floyd, Financial Analyst(913) 341-9316
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
11627 W 79th St
Lenexa, KS 66214-1488
Phone: (913) 341-9316
Fax: (913) 341-1198
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 14395
Lenexa, KS 66285-4395
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.