Vintage Park at Neodesha, LLC
NPI 1558519785 · Assisted Living Facility · Neodesha, KS
Vintage Park at Neodesha, LLC is a Assisted Living Facility organization in Neodesha, KS (NPI 1558519785).
Provider details
- NPI number
- 1558519785
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Matt Moore, President(949) 282-5800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Other name
- Vintage Park at Neodesha
Registry dates
- Enumerated
- 2008-08-29
- Last updated
- 2008-08-29
Frequently asked questions
- What is Vintage Park at Neodesha, LLC's NPI number?
- Vintage Park at Neodesha, LLC's National Provider Identifier (NPI) is 1558519785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Park at Neodesha, LLC?
- Vintage Park at Neodesha, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Vintage Park at Neodesha, LLC located?
- Vintage Park at Neodesha, LLC's practice location on file with NPPES is 400 Fir St, Neodesha, KS 66757-1298.
- What is Vintage Park at Neodesha, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Park at Neodesha, LLC is (620) 325-2244.
- Who is the authorized official for Vintage Park at Neodesha, LLC?
- The authorized official listed on Vintage Park at Neodesha, LLC's NPPES record is Matt Moore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Park at Neodesha, LLC's NPI active?
- Yes — Vintage Park at Neodesha, LLC's NPI (1558519785) is active in the NPPES registry as of the last update on 2008-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.