OrganizationActive
Broadmoor One LLC
NPI 1790040327 · Adult Care Home Facility · Wichita, KS
Broadmoor One LLC is a Adult Care Home Facility organization in Wichita, KS (NPI 1790040327).
Provider details
- NPI number
- 1790040327
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Max Cole, Owner(316) 683-0562
- License
- B087182 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2119 N Broadmoor St
Wichita, KS 67206-1028
Phone: (316) 260-3625
Street-level locationGet directions
Mailing address
9435 E Central Ave Ste 200
Wichita, KS 67206-2552
Registry dates
- Enumerated
- 2012-07-10
- Last updated
- 2012-07-10
Frequently asked questions
- What is Broadmoor One LLC's NPI number?
- Broadmoor One LLC's National Provider Identifier (NPI) is 1790040327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor One LLC?
- Broadmoor One LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Broadmoor One LLC located?
- Broadmoor One LLC's practice location on file with NPPES is 2119 N Broadmoor St, Wichita, KS 67206-1028.
- What is Broadmoor One LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor One LLC is (316) 260-3625.
- Who is the authorized official for Broadmoor One LLC?
- The authorized official listed on Broadmoor One LLC's NPPES record is Max Cole, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor One LLC's NPI active?
- Yes — Broadmoor One LLC's NPI (1790040327) is active in the NPPES registry as of the last update on 2012-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.