Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ccrc of Overland Park, LLC

Organization Skilled Nursing Facility · NPI 1063946143

Ccrc of Overland Park, LLC is a Skilled Nursing Facility in Overland Park, Kansas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12500 W 137th St
Overland Park, KS 66221-4129
Phone: (913) 730-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1063946143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gilbert Wood — Manager Of The Llc · (913) 599-5705
Other names Colonial Village
NPI enumeratedApril 17, 2017
Last updated in NPPESFebruary 20, 2019
Mailing address12500 W. 137th Street, Overland Park, KS 66221

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Overland Park