Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadmoor One LLC

Organization Adult Care Home Facility · NPI 1790040327

Broadmoor One LLC is an Adult Care Home Facility in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2012.

Licensed in
KS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2119 N Broadmoor St
Wichita, KS 67206-1028
Phone: (316) 260-3625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence B087182 (KS)

Record details

NPI number1790040327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Cole — Owner · (316) 683-0562
NPI enumeratedJuly 10, 2012
Last updated in NPPESJuly 10, 2012
Mailing address9435 E Central Ave Ste 200, Wichita, KS 67206-2552

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