Provider Demographics
NPI:1750403937
Name:CARRINGTON HOUSE L.L.C.
Entity type:Organization
Organization Name:CARRINGTON HOUSE L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RESIDENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OPERATOR
Authorized Official - Phone:316-262-5516
Mailing Address - Street 1:1432 N WACO AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2649
Mailing Address - Country:US
Mailing Address - Phone:316-262-5516
Mailing Address - Fax:316-260-8594
Practice Address - Street 1:1432 N WACO AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2649
Practice Address - Country:US
Practice Address - Phone:316-262-5516
Practice Address - Fax:316-260-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN087058310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility