Healthcare Provider Details

I. General information

NPI: 1699524298
Provider Name (Legal Business Name): STONY POINT LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4349 SE CHISOLM RD
TOPEKA KS
66609-1716
US

IV. Provider business mailing address

1809 ALMIRA ST
LAWRENCE KS
66044-4359
US

V. Phone/Fax

Practice location:
  • Phone: 913-219-0208
  • Fax:
Mailing address:
  • Phone: 913-219-0208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: CASSANDRA KENNEDY
Title or Position: CEO
Credential: LPN
Phone: 913-219-0208