Provider Demographics
NPI:1376793612
Name:LAMAR COURT ASSISTED LIVING
Entity Type:Organization
Organization Name:LAMAR COURT ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:NEASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-906-9696
Mailing Address - Street 1:11909 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2706
Mailing Address - Country:US
Mailing Address - Phone:913-906-9696
Mailing Address - Fax:913-906-9955
Practice Address - Street 1:11909 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2706
Practice Address - Country:US
Practice Address - Phone:913-906-9696
Practice Address - Fax:913-906-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN046051310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility