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

Vintage Park at Paola LLC

Organization Assisted Living Facility · NPI 1659395424

Vintage Park at Paola LLC is an Assisted Living Facility in Paola, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

601 N East St
Paola, KS 66071-1183
Phone: (913) 557-0202
Fax: (913) 294-5187
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 N069009 (KS)

Record details

NPI number1659395424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Moore — Sr Vice President Of Operation · (913) 239-0660
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address601 N East St, Paola, KS 66071-1183

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