HOMESTEAD OF ESTHERVILLE OPERATIONS LLC
NPI 1013668151
Assisted Living Facility in Estherville, IA

Active since January 11, 2022CLIA 16D2257888 · Waiver
2015 3RD AVE N, ESTHERVILLE, IA 51334(712) 362-0171 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homestead Of Estherville Operations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD OF ESTHERVILLE OPERATIONS LLC (NPI 1013668151) is a healthcare organization registered as an assisted living facility in Estherville, Iowa and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013668151
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF ESTHERVILLE OPERATIONS LLC
Location Address2015 3RD AVE NEstherville, IA 51334-1740
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498 · (785) 272-1535
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1013668151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2015 3RD AVE N, Estherville, IA 51334

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2257888

Homestead Of Estherville Operations, LLC · Estherville, IA
Active · expires Apr 11, 2028
CLIA Number16D2257888
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorTerri Tweedy
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Estherville Operations, LLC2015 3rd Avenue North, Estherville, IA 51334
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2015 3RD AVE N
ESTHERVILLE, IA 51334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homestead Of Estherville Operations LLC's NPI number?

The NPI number for Homestead Of Estherville Operations LLC is 1013668151. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Homestead Of Estherville Operations LLC located?

Homestead Of Estherville Operations LLC is located at 2015 3rd Ave N, Estherville, IA 51334. The listed phone number is (712) 362-0171.

What is Homestead Of Estherville Operations LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Homestead Of Estherville Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2257888) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Homestead Of Estherville Operations LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.