HOMESTEAD ESTATES OF OVERLAND PARK OPERATIONS, LLC
NPI 1295601706
Assisted Living Facility in Overland Park, KS

Active since October 13, 2025CLIA 17D2135473 · Waiver
12701 PFLUMM RD, OVERLAND PARK, KS 66213(913) 490-5035 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homestead Estates Of Overland Park Operations, Llc NPPES

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

HOMESTEAD ESTATES OF OVERLAND PARK OPERATIONS, LLC (NPI 1295601706) is a healthcare organization registered as an assisted living facility in Overland Park, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295601706
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD ESTATES OF OVERLAND PARK OPERATIONS, LLC
Location Address12701 PFLUMM RDOverland Park, KS 66213-2317
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1295601706 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.
12701 PFLUMM RD, Overland Park, KS 66213

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 17D2135473

Homestead Estates Of Overland Park Memory Care · Overland Park, KS
Active · expires May 5, 2028
CLIA Number17D2135473
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorSamantha Feaker
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Estates Of Overland Park Memory Care12701 Pflumm Road, Overland Park, KS 66213
CLIA data matches this NPI record on: Address
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.

Physical Therapist
12701 PFLUMM RD
OVERLAND PARK, KS 66213
Assisted Living Facility
12701 PFLUMM RD
OVERLAND PARK, KS 66213

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 Estates Of Overland Park Operations, LLC's NPI number?

The NPI number for Homestead Estates Of Overland Park Operations, LLC is 1295601706. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Homestead Estates Of Overland Park Operations, LLC located?

Homestead Estates Of Overland Park Operations, LLC is located at 12701 Pflumm Rd, Overland Park, KS 66213. The listed phone number is (913) 490-5035.

What is Homestead Estates Of Overland Park Operations, LLC's specialty?

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

Does Homestead Estates Of Overland Park Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2135473) is associated with this NPI, valid through May 5, 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 Estates Of Overland Park 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.