Provider Demographics
NPI:1417589912
Name:PV - V FOXWOOD SPRINGS OPERATOR LLC
Entity Type:Organization
Organization Name:PV - V FOXWOOD SPRINGS OPERATOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-647-9714
Mailing Address - Street 1:4220 SHAWNEE MISSION PKWY STE 200B
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2571
Mailing Address - Country:US
Mailing Address - Phone:913-647-9714
Mailing Address - Fax:
Practice Address - Street 1:1500 W FOXWOOD DR
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-9347
Practice Address - Country:US
Practice Address - Phone:816-331-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility