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HOMESTEAD OF PAOLA OPERATIONS, LLC
NPI 1255207866
Assisted Living Facility in Paola, KS

Active since October 13, 2025
601 N EAST ST, PAOLA, KS 66071(913) 557-0202 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homestead Of Paola Operations, Llc NPPES

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

HOMESTEAD OF PAOLA OPERATIONS, LLC (NPI 1255207866) is a healthcare organization registered as an assisted living facility in Paola, Kansas and active in the NPI registry since October 2025. The organization lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255207866
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF PAOLA OPERATIONS, LLC
Location Address601 N EAST STPaola, KS 66071-1183
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Phone(913) 557-0202
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1255207866 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.
601 N EAST ST, Paola, KS 66071
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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 17D0976383

Homestead Of Paola · Paola, KS
Expired · Aug 1, 2026
CLIA Number17D0976383
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorLisa White
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Paola601 N East St, Paola, KS 66071
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 3

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

CPF SENIOR LIVING - PAOLA LLC
Assisted Living Facility
601 N EAST ST
PAOLA, KS 66071
Miami County (913) 557-0202
HOMESTEAD OF PAOLA LLC
Assisted Living Facility
601 N EAST ST
PAOLA, KS 66071
Miami County (913) 557-0202
VINTAGE PARK AT PAOLA LLC
Assisted Living Facility
601 N EAST ST
PAOLA, KS 66071
Miami County (913) 557-0202

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 Paola Operations, LLC's NPI number?

The NPI number for Homestead Of Paola Operations, LLC is 1255207866. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Homestead Of Paola Operations, LLC located?

Homestead Of Paola Operations, LLC is located at 601 N East St, Paola, KS 66071. The listed phone number is (913) 557-0202.

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

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

When was this NPI record last updated?

The NPPES record for Homestead Of Paola Operations, LLC was last updated on October 13, 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.