Provider Demographics
NPI:1225241680
Name:CHATEAU HEALTHCARE MANAGEMENT DBA MISSION SPRINGS ASSISTED LIVING
Entity Type:Organization
Organization Name:CHATEAU HEALTHCARE MANAGEMENT DBA MISSION SPRINGS ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-831-7700
Mailing Address - Street 1:5350 W 61ST PL
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-3000
Mailing Address - Country:US
Mailing Address - Phone:913-831-7700
Mailing Address - Fax:913-831-7733
Practice Address - Street 1:5350 W 61ST PL
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66205-3000
Practice Address - Country:US
Practice Address - Phone:913-831-7700
Practice Address - Fax:913-831-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN046042310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility