Healthcare Provider Details

I. General information

NPI: 1326504028
Provider Name (Legal Business Name): ORCHARD GARDENS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S WOODLAWN BLVD
WICHITA KS
67218-4728
US

IV. Provider business mailing address

2310 ANDERSON AVE
MANHATTAN KS
66502-2903
US

V. Phone/Fax

Practice location:
  • Phone: 316-691-9999
  • Fax:
Mailing address:
  • Phone: 785-789-4750
  • Fax: 785-789-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM MATTHEW NOVOTNY
Title or Position: CEO
Credential:
Phone: 785-789-4750