EL DORADO HOMESTEAD
NPI 1275078065
Assisted Living Facility in El Dorado, KS

Active since January 03, 2017CLIA 17D0970759 · Waiver
1650 E 12TH AVE, EL DORADO, KS 67042(316) 321-7777(316) 321-6115 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About El Dorado Homestead NPPES

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

EL DORADO HOMESTEAD (NPI 1275078065) is a healthcare organization registered as an assisted living facility in El Dorado, Kansas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275078065
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF EL DORADO OPERATIONS LLC
Location Address1650 E 12TH AVEEl Dorado, KS 67042-4300
Mailing Address1650 E 12th AveEl Dorado, KS 67042-4300 · (316) 321-7777 · Fax (316) 321-6115
Fax(316) 321-6115
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateJanuary 3, 2017
NPI 1275078065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in KS · N008009
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.
1650 E 12TH AVE, El Dorado, KS 67042

Other Names 1

Doing Business AsEl Dorado Homestead

Other Identifiers 1

MedicaidN008009KS

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 17D0970759

Homestead Of El Dorado · El Dorado, KS
Active · expires Feb 23, 2028
CLIA Number17D0970759
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorLaura Zabel
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of El Dorado1650 E 12th Avenue, El Dorado, KS 67042
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
1650 E 12TH AVE
EL DORADO, KS 67042

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 El Dorado Operations LLC's NPI number?

The NPI number for Homestead Of El Dorado Operations LLC is 1275078065. It was assigned to this organization in the NPPES registry on January 3, 2017. The provider is doing business as El Dorado Homestead.

Where is Homestead Of El Dorado Operations LLC located?

Homestead Of El Dorado Operations LLC is located at 1650 E 12th Ave, El Dorado, KS 67042. The listed phone number is (316) 321-7777.

What is Homestead Of El Dorado Operations LLC's specialty?

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

Does Homestead Of El Dorado Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0970759) is associated with this NPI, valid through February 23, 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 El Dorado Operations LLC was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.