VICTORIA FALLS – NPI #1689992752
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

VICTORIA FALLS is a skilled nursing facility (SNF) located in ANDOVER, KS. NPPES has assigned the NPI number 1689992752 to VICTORIA FALLS on May 13, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VICTORIA FALLS” is a dba name, the actual legal business name for this organization is ANDOVER SENIOR CARE, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 10 years ago on Dec 07, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORIA FALLS below.

NPI Profile for
ANDOVER SENIOR CARE, LLC

NPI Number
1689992752
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANDOVER SENIOR CARE, LLC
Doing Business As (dba): VICTORIA FALLS
Primary location
224 E CENTRAL AVE
ANDOVER, KS 67002
Phone: (316) 733-0654 Fax:
Mailing address
PO BOX 906
ANDOVER, KS 67002-0906
Phone: (316) 733-0654 Fax: (316) 733-0995
Organization Subpart
No
Authorized Official
DENNIS BUSH
CEO
Phone: (316) 733-2645
Updated
Identifiers

Identifiers for VICTORIA FALLS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERKANSAS DEPARTMENT ON AGINGKSN008012
OTHERPTANKS175520
MEDICAIDKS200363120A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.