OrganizationActive
Johnsonville Home LLC
NPI 1952590168 · Adult Care Home Facility · Kansas City, KS
Provider details
- NPI number
- 1952590168
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Johnson, Operator(913) 371-3995
- License
- B105114 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2419 N 22nd St
Kansas City, KS 66104-4612
Phone: (913) 371-3995
Fax: (866) 372-9403
Approximate (ZIP-level) locationGet directions
Mailing address
2419 N 22nd St
Kansas City, KS 66104-4612
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.