HOMESTEAD OF GARDNER OPERATIONS, LLC
NPI 1326916156
Assisted Living Facility in Gardner, KS

Active since October 24, 2025CLIA 17D0978758 · Waiver
869 S JUNIPER TER, GARDNER, KS 66030(913) 856-7643 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Of Gardner Operations, Llc NPPES

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

HOMESTEAD OF GARDNER OPERATIONS, LLC (NPI 1326916156) is a healthcare organization registered as an assisted living facility in Gardner, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326916156
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF GARDNER OPERATIONS, LLC
Location Address869 S JUNIPER TERGardner, KS 66030-1468
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1326916156 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.
869 S JUNIPER TER, Gardner, KS 66030

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 17D0978758

Homestead Of Gardner · Gardner, KS
Active · expires Oct 2, 2026
CLIA Number17D0978758
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorJodi Bergkamp
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Gardner869 Juniper Terrace Attn Executive Director, Gardner, KS 66030
CLIA data matches this NPI record on: 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
869 S JUNIPER TER
GARDNER, KS 66030

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 Gardner Operations, LLC's NPI number?

The NPI number for Homestead Of Gardner Operations, LLC is 1326916156. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Homestead Of Gardner Operations, LLC located?

Homestead Of Gardner Operations, LLC is located at 869 S Juniper Ter, Gardner, KS 66030. The listed phone number is (913) 856-7643.

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

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

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

Yes. A Certificate of Waiver (number 17D0978758) is associated with this NPI, valid through October 2, 2026. 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 Gardner Operations, LLC was last updated on October 24, 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.