HOMESTEAD OF WEATHERFORD OPERATIONS LLC
NPI 1114590247
Assisted Living Facility in Weatherford, OK
About Homestead Of Weatherford Operations Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMESTEAD OF WEATHERFORD OPERATIONS LLC (NPI 1114590247) is a healthcare organization registered as an assisted living facility in Weatherford, Oklahoma and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Michael D Tryon, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 37D2196280
Homestead Of Weatherford · Weatherford, OKOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Weatherford Operations LLC's NPI number?
The NPI number for Homestead Of Weatherford Operations LLC is 1114590247. It was assigned to this organization in the NPPES registry on July 16, 2021.
Where is Homestead Of Weatherford Operations LLC located?
Homestead Of Weatherford Operations LLC is located at 3601 E Main St, Weatherford, OK 73096. The listed phone number is (580) 774-2955.
What is Homestead Of Weatherford Operations LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Homestead Of Weatherford Operations LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2196280) is associated with this NPI, valid through October 14, 2026. 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 Weatherford Operations LLC was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Homestead Of Weatherford Operations Llc · NPI 1114590247
Assisted Living Facility organization in Weatherford, Oklahoma. Organization record, active in the CMS NPPES registry since July 16, 2021.
## Identity
- **NPI:** 1114590247 (Entity type: Organization)
- **Enumerated:** July 16, 2021
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Michael Tryon, CFO
## Practice location
- **Address:** 3601 E MAIN ST, Weatherford, OK 73096-3338
- **Phone:** (580) 774-2955
## Record status
- **NPPES last updated:** July 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114590247) · Data from the CMS NPPES public registry.