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

Vintage Park at Fredonia, LLC

Organization Assisted Living Facility · NPI 1922256155

Vintage Park at Fredonia, LLC is an Assisted Living Facility in Fredonia, Kansas. Licensed in Kansas. Registered with an NPI since 2008.

Licensed in
KS
In the registry since
2008
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

2111 E Washington St
Fredonia, KS 66736-1757
Phone: (620) 378-2329
Fax: (620) 378-2792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence BEING APPLIED FOR (KS)

Record details

NPI number1922256155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Moore — President · (949) 282-5800
Other names Vintage Park At Fredonia
NPI enumeratedAugust 29, 2008
Last updated in NPPESAugust 29, 2008
Mailing address2111 E Washington St, Fredonia, KS 66736-1757

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