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Vintage Park at Eureka, LLC

Assisted Living Facility in Eureka, KS · enumerated 2008 · authorized official Matt Moore, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629225107

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Registry record

Entity type Organization (Type 2)
Legal business name Vintage Park at Eureka, LLC
Other name <Unavail>
Practice address 1820 E River St, Eureka, KS, 67045
Phone (620) 583-7473
Fax (620) 583-7574
Enumeration date Aug 26, 2008
Last updated in NPPES Aug 26, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License BEING APPLIED FOR (KS) Primary

Authorized official

Name Matt Moore
Title President
Phone (949) 282-5800

Other identifiers

Identifier Type State Issuer
BEING APPLIED FOR Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-26. Verify at npiregistry.cms.hhs.gov.
Where is Vintage Park at Eureka, LLC located?
The practice location on file with NPPES is in Eureka, KS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-26.