VINTAGE PLACE OF DERBY
NPI 1568702181
Assisted Living Facility in Derby, KS

NPI Status: Active since February 19, 2013

Contact Information

1701 E WALNUT GROVE RD
DERBY, KS
ZIP 67037
Phone: (316) 788-9600
Fax: (316) 788-8963

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  • Organization
  • Assisted Living Facility

About VINTAGE PLACE OF DERBY

This page provides the complete NPI Profile along with additional information for Vintage Place Of Derby, a provider established in Derby, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1568702181 assigned on February 2013. The practitioner's primary taxonomy code is 310400000X with license number N087036 (KS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Brian Warren (Owner)

NPI
1568702181
Provider Name
VINTAGE PLACE OF DERBY
Entity Type
Organization
Location Address
1701 E WALNUT GROVE RD DERBY, KS 67037
Location Phone
(316) 788-9600
Location Fax
(316) 788-8963
Mailing Address
1701 E WALNUT GROVE RD DERBY, KS 67037
Mailing Phone
(316) 788-9600
Mailing Fax
(316) 788-8963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2013
Last Update Date
02-19-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
N087036
License State
KS
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRIAN WARREN

Authorized Official Title
OWNER
Authorized Official Phone
(316) 733-1144

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100416000AMEDICAID (05)KS 
N087036OTHER (01)KSKANSAS ASSISTED LIVING

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568702181
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281404116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 0 + 4 + 1 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1568702181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700321486HOMESTEAD OF DERBY OPERATIONS, LLC
Organization
Assisted Living Facility1701 E WALNUT GROVE RD
DERBY, KS 67037
(316) 788-9600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568702181, enumerated in the NPI registry as an "organization" on February 19, 2013

The provider is located at 1701 E Walnut Grove Rd Derby, Ks 67037 and the phone number is (316) 788-9600

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 19, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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