Provider Demographics
NPI:1619155322
Name:METSUN OVERLAND PARK KS SENIOR LIVING, LLC
Entity Type:Organization
Organization Name:METSUN OVERLAND PARK KS SENIOR LIVING, LLC
Other - Org Name:SUNRISE ASSISTED LIVING OF OVERLAND PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-685-3340
Mailing Address - Street 1:12500 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-9323
Mailing Address - Country:US
Mailing Address - Phone:913-685-3340
Mailing Address - Fax:913-685-3341
Practice Address - Street 1:12500 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-9323
Practice Address - Country:US
Practice Address - Phone:913-685-3340
Practice Address - Fax:913-685-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility