HOMESTEAD OF OSAWATOMIE OPERATIONS, LLC
NPI 1285500629
Assisted Living Facility in Osawatomie, KS
About Homestead Of Osawatomie Operations, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMESTEAD OF OSAWATOMIE OPERATIONS, LLC (NPI 1285500629) is a healthcare organization registered as an assisted living facility in Osawatomie, Kansas and active in the NPI registry since October 2025. The organization holds 2 active CLIA laboratory certificates and lists Cody Fulks, Compliance Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
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 17D1025188
Homestead Of Osawatomie · Osawatomie, KSCertificate of Waiver 14D2257987
Homestead Of Morrison Operations, LLC · Morrison, ILOther 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 Osawatomie Operations, LLC's NPI number?
The NPI number for Homestead Of Osawatomie Operations, LLC is 1285500629. It was assigned to this organization in the NPPES registry on October 14, 2025.
Where is Homestead Of Osawatomie Operations, LLC located?
Homestead Of Osawatomie Operations, LLC is located at 1520 Parker Ave, Osawatomie, KS 66064. The listed phone number is (913) 755-2167.
What is Homestead Of Osawatomie Operations, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Homestead Of Osawatomie Operations, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Homestead Of Osawatomie Operations, LLC was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Osawatomie Operations, Llc · NPI 1285500629
Assisted Living Facility organization in Osawatomie, Kansas. Organization record, active in the CMS NPPES registry since October 14, 2025.
## Identity
- **NPI:** 1285500629 (Entity type: Organization)
- **Enumerated:** October 14, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Cody Fulks, COMPLIANCE MANAGER
## Practice location
- **Address:** 1520 PARKER AVE, Osawatomie, KS 66064-1702
- **Phone:** (913) 755-2167
## Record status
- **NPPES last updated:** October 14, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285500629) · Data from the CMS NPPES public registry.