Provider Demographics
NPI:1386479053
Name:VILLA HEIGHTS LIVING LLC
Entity type:Organization
Organization Name:VILLA HEIGHTS LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANJELA
Authorized Official - Last Name:OLIMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-645-9151
Mailing Address - Street 1:816 S MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-9248
Mailing Address - Country:US
Mailing Address - Phone:913-645-9151
Mailing Address - Fax:913-605-1096
Practice Address - Street 1:816 S MULBERRY ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-9248
Practice Address - Country:US
Practice Address - Phone:913-645-9151
Practice Address - Fax:913-605-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home