HOMESTEAD OF ATCHISON OPERATIONS, LLC
NPI 1174491732
Assisted Living Facility in Atchison, KS

Active since October 27, 2025CLIA 17D0985601 · Waiver
1301 N 4TH ST, ATCHISON, KS 66002(913) 367-2655 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Homestead Of Atchison Operations, Llc NPPES

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

HOMESTEAD OF ATCHISON OPERATIONS, LLC (NPI 1174491732) is a healthcare organization registered as an assisted living facility in Atchison, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174491732
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF ATCHISON OPERATIONS, LLC
Location Address1301 N 4TH STAtchison, KS 66002-1207
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1174491732 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.
1301 N 4TH ST, Atchison, KS 66002

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 17D0985601

Homestead Of Atchison · Atchison, KS
Active · expires Aug 13, 2027
CLIA Number17D0985601
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorBrenda Norris
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Atchison1301 North 4th Street, Atchison, KS 66002
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 2

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

Assisted Living Facility
1301 N 4TH ST
ATCHISON, KS 66002
Assisted Living Facility
1301 N 4TH ST
ATCHISON, KS 66002

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 Atchison Operations, LLC's NPI number?

The NPI number for Homestead Of Atchison Operations, LLC is 1174491732. It was assigned to this organization in the NPPES registry on October 27, 2025.

Where is Homestead Of Atchison Operations, LLC located?

Homestead Of Atchison Operations, LLC is located at 1301 N 4th St, Atchison, KS 66002. The listed phone number is (913) 367-2655.

What is Homestead Of Atchison Operations, LLC's specialty?

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

Does Homestead Of Atchison Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0985601) is associated with this NPI, valid through August 13, 2027. 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 Atchison Operations, LLC was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.