HOMESTEAD OF BALDWIN CITY OPERATIONS LLC
NPI 1114893864
Assisted Living Facility in Baldwin City, KS
About Homestead Of Baldwin City Operations Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMESTEAD OF BALDWIN CITY OPERATIONS LLC (NPI 1114893864) is a healthcare organization registered as an assisted living facility in Baldwin City, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Cody Fulks, 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 17D0972571
Homestead Of Baldwin City · Baldwin City, KSOther Providers at the Same Location NPPES 2
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 Baldwin City Operations LLC's NPI number?
The NPI number for Homestead Of Baldwin City Operations LLC is 1114893864. It was assigned to this organization in the NPPES registry on October 10, 2025.
Where is Homestead Of Baldwin City Operations LLC located?
Homestead Of Baldwin City Operations LLC is located at 321 Crimson Ave, Baldwin City, KS 66006. The listed phone number is (785) 594-4255.
What is Homestead Of Baldwin City Operations LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Homestead Of Baldwin City Operations LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D0972571) is associated with this NPI, valid through April 10, 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 Baldwin City Operations LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 Baldwin City Operations Llc · NPI 1114893864
Assisted Living Facility organization in Baldwin City, Kansas. Organization record, active in the CMS NPPES registry since October 10, 2025.
## Identity
- **NPI:** 1114893864 (Entity type: Organization)
- **Enumerated:** October 10, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Cody Fulks, CFO
## Practice location
- **Address:** 321 CRIMSON AVE, Baldwin City, KS 66006-4157
- **Phone:** (785) 594-4255
## Record status
- **NPPES last updated:** October 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114893864) · Data from the CMS NPPES public registry.