OrganizationActive
Vintage Park at Ottawa LLC
NPI 1619185188 · Assisted Living Facility · Ottawa, KS
Vintage Park at Ottawa LLC is a Assisted Living Facility organization in Ottawa, KS (NPI 1619185188).
Provider details
- NPI number
- 1619185188
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Matt Moore, Senior Vice President(913) 239-0660
- License
- N030008 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2250 S Elm St
Ottawa, KS 66067
Phone: (785) 242-3715
Fax: (785) 242-0188
Street-level locationGet directions
Mailing address
2250 S Elm St
Ottawa, KS 66067
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Vintage Park at Ottawa LLC's NPI number?
- Vintage Park at Ottawa LLC's National Provider Identifier (NPI) is 1619185188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Park at Ottawa LLC?
- Vintage Park at Ottawa LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Vintage Park at Ottawa LLC located?
- Vintage Park at Ottawa LLC's practice location on file with NPPES is 2250 S Elm St, Ottawa, KS 66067.
- What is Vintage Park at Ottawa LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Park at Ottawa LLC is (785) 242-3715.
- Who is the authorized official for Vintage Park at Ottawa LLC?
- The authorized official listed on Vintage Park at Ottawa LLC's NPPES record is Matt Moore, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Park at Ottawa LLC's NPI active?
- Yes — Vintage Park at Ottawa LLC's NPI (1619185188) is active in the NPPES registry as of the last update on 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.