OrganizationActive
Vintage Park at Paola LLC
NPI 1659395424 · Assisted Living Facility · Paola, KS
Vintage Park at Paola LLC is a Assisted Living Facility organization in Paola, KS (NPI 1659395424).
Provider details
- NPI number
- 1659395424
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Matt Moore, Sr Vice President of Operation(913) 239-0660
- License
- N069009 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 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
601 N East St
Paola, KS 66071-1183
Phone: (913) 557-0202
Fax: (913) 294-5187
Street-level locationGet directions
Mailing address
601 N East St
Paola, KS 66071-1183
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Vintage Park at Paola LLC's NPI number?
- Vintage Park at Paola LLC's National Provider Identifier (NPI) is 1659395424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Park at Paola LLC?
- Vintage Park at Paola LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Vintage Park at Paola LLC located?
- Vintage Park at Paola LLC's practice location on file with NPPES is 601 N East St, Paola, KS 66071-1183.
- What is Vintage Park at Paola LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Park at Paola LLC is (913) 557-0202.
- Who is the authorized official for Vintage Park at Paola LLC?
- The authorized official listed on Vintage Park at Paola LLC's NPPES record is Matt Moore, Sr Vice President of Operation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Park at Paola LLC's NPI active?
- Yes — Vintage Park at Paola LLC's NPI (1659395424) 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.