OrganizationActive
Vintage Park at Eureka, LLC
NPI 1629225107 · Assisted Living Facility · Eureka, KS
Vintage Park at Eureka, LLC is a Assisted Living Facility organization in Eureka, KS (NPI 1629225107).
Provider details
- NPI number
- 1629225107
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Matt Moore, President(949) 282-5800
- License
- BEING APPLIED FOR (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
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
1820 E River St
Eureka, KS 67045-2156
Phone: (620) 583-7473
Fax: (620) 583-7574
Street-level locationGet directions
Mailing address
1820 E River St
Eureka, KS 67045-2156
Other names (DBA / former)
- Other name
- Vintage Park at Eureka
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Frequently asked questions
- What is Vintage Park at Eureka, LLC's NPI number?
- Vintage Park at Eureka, LLC's National Provider Identifier (NPI) is 1629225107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Park at Eureka, LLC?
- Vintage Park at Eureka, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Vintage Park at Eureka, LLC located?
- Vintage Park at Eureka, LLC's practice location on file with NPPES is 1820 E River St, Eureka, KS 67045-2156.
- What is Vintage Park at Eureka, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Park at Eureka, LLC is (620) 583-7473.
- Who is the authorized official for Vintage Park at Eureka, LLC?
- The authorized official listed on Vintage Park at Eureka, 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 Eureka, LLC's NPI active?
- Yes — Vintage Park at Eureka, LLC's NPI (1629225107) is active in the NPPES registry as of the last update on 2008-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.