Healthcare Provider Details

I. General information

NPI: 1124931779
Provider Name (Legal Business Name): AMERICARE AT STONEHAVEN VILLAGE ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 AMHERST AVE
MANHATTAN KS
66503
US

IV. Provider business mailing address

3700 AMHERST AVE
MANHATTAN KS
66503
US

V. Phone/Fax

Practice location:
  • Phone: 573-471-1113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KYLE SCHADE
Title or Position: MANAGER
Credential:
Phone: 573-471-1113