Organization · Type 2 NPI

Broadmoor One LLC

Adult Care Home Facility · Wichita, KS

NPI number 1790040327 Active

Practice location

2119 N Broadmoor St
Wichita, KS 67206-1028

Call (316) 260-3625 Map

Mailing address

9435 E Central Ave Ste 200
Wichita, KS 67206-2552

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XB087182 (KS)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Another provider at this address

Other adult care home facility providers in Wichita

See all in Wichita →

About NPI 1790040327

Broadmoor One LLC's National Provider Identifier is 1790040327, issued on Jul 10, 2012. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wichita, KS. The record was last updated on Jul 10, 2012.