Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareVILLAGE SHALOM, INC
Alzheimer Center
Overland Park, Kansas
Provider NPI: 1316908163
Organization Information:Organization Name: VILLAGE SHALOM, INC
Practice Location:
5500 W 123RD ST OVERLAND PARK, KS 66209 US
Tel: 913-317-2600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5500 W 123RD ST OVERLAND PARK, KS 66209 US
Tel: 913-317-2600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | KS | N046054 |
| N | 261QA0600X | Ambulatory Health Care Facilities Clinic/Center | KS | N046054 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | KS | N046054 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | KS | N046054 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS PROVIDER NUMBER | 90924016 | KS | 01 |
| 100112060A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin