Provider Demographics
NPI:1326274416
Name:GARDEN VILLAS OF LENEXA
Entity Type:Organization
Organization Name:GARDEN VILLAS OF LENEXA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DROZDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-492-1133
Mailing Address - Street 1:9705 MONROVIA ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1500
Mailing Address - Country:US
Mailing Address - Phone:913-492-1133
Mailing Address - Fax:
Practice Address - Street 1:9705 MONROVIA ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1500
Practice Address - Country:US
Practice Address - Phone:913-492-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELMAR GARDENS ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN046078310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility