MEDICARE: HERITAGE AVONLEA OF OLATHE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	251E00000X	Home Health Agency
3	310400000X	Assisted Living Facility	N-046-035	KS

General Provider Information

NPI Number	:	1295037869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE AVONLEA OF OLATHE LLC

Provider Business Mailing Address
First Line	:	10024 SKOKIE BLVD SUITE 213
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077
Country	:	US
Telephone Number	:	224-233-1305
Fax Number	:	224-233-1306

Provider Business Practice Location Address
First Line	:	625 N. LINCOLN ST.
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061
Country	:	US
Telephone Number	:	913-829-6920
Fax Number	:	913-829-6993

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID SCHECHTER
Credential	:
Telephone Number	:	224-233-1305

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	02/23/2026

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