OrganizationActive
Bethesda Lutheran Communities
NPI 1669618864 · Intellectual Disabilities Intermediate Care Facility · Shawnee Mission, KS
Provider details
- NPI number
- 1669618864
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Kaczmarski, Vp of Legal Affairs(920) 206-4406
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
14150 W 113th St
Shawnee Mission, KS 66215-4819
Phone: (913) 906-5000
Fax: (913) 469-4028
Approximate (ZIP-level) locationGet directions
Mailing address
14235 W 113 St
Shawnee Mission, KS 66215
Other names (DBA / former)
- Other name
- Faith Village III
Registry dates
- Enumerated
- 2008-12-18
- Last updated
- 2013-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.