OrganizationActive
Derby Assisted Living, LLC
NPI 1396094470 · Assisted Living Facility · Derby, KS
Derby Assisted Living, LLC is a Assisted Living Facility organization in Derby, KS (NPI 1396094470).
Provider details
- NPI number
- 1396094470
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Fred Hermes, Managing Member(316) 773-1313
- License
- N087066 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
719 N. Klein Circle
Derby, KS 67037
Phone: (316) 260-4447
Street-level locationGet directions
Mailing address
7200 W 13th
Wichita, KS 67212
Other names (DBA / former)
- Doing business as
- Avita Senior Living at Derby
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2012-09-05
Frequently asked questions
- What is Derby Assisted Living, LLC's NPI number?
- Derby Assisted Living, LLC's National Provider Identifier (NPI) is 1396094470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derby Assisted Living, LLC?
- Derby Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Derby Assisted Living, LLC located?
- Derby Assisted Living, LLC's practice location on file with NPPES is 719 N. Klein Circle, Derby, KS 67037.
- What is Derby Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Derby Assisted Living, LLC is (316) 260-4447.
- Who is the authorized official for Derby Assisted Living, LLC?
- The authorized official listed on Derby Assisted Living, LLC's NPPES record is Fred Hermes, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derby Assisted Living, LLC's NPI active?
- Yes — Derby Assisted Living, LLC's NPI (1396094470) is active in the NPPES registry as of the last update on 2012-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.