OrganizationActive
Broadmoor One LLC
NPI 1790040327 · Adult Care Home Facility · Wichita, KS
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
Practice location
2119 N Broadmoor St
Wichita, KS 67206-1028
Phone: (316) 260-3625
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.