HOMESTEAD OF LEAWOOD
NPI 1366502114
Assisted Living Facility in Leawood, KS

Active since December 11, 2006CLIA 17D0970458 · Waiver
12720 STATE LINE RD, LEAWOOD, KS 66209(913) 663-3351(913) 894-4147 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homestead Of Leawood NPPES

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

HOMESTEAD OF LEAWOOD (NPI 1366502114) is a healthcare organization registered as an assisted living facility in Leawood, Kansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366502114
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIDWEST HOMESTEAD OF LEAWOOD OPERATIONS, LLC
Location Address12720 STATE LINE RDLeawood, KS 66209-1619
Mailing Address3715 Sw 29th StTopeka, KS 66614-2107 · (785) 272-1535 · Fax (785) 272-1480
Fax(913) 894-4147
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 19, 2013
NPI 1366502114 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 · 200303680A
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.
12720 STATE LINE RD, Leawood, KS 66209

Other Names 1

Doing Business AsHomestead Of Leawood

Other Identifiers 1

Medicaid200303680AKS

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 17D0970458

Homestead Of Leawood · Leawood, KS
Active · expires Feb 14, 2028
CLIA Number17D0970458
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorKrista Clark
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Leawood12720 State Line Road, Leawood, KS 66209
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Midwest Homestead Of Leawood Operations, LLC's NPI number?

The NPI number for Midwest Homestead Of Leawood Operations, LLC is 1366502114. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Homestead Of Leawood.

Where is Midwest Homestead Of Leawood Operations, LLC located?

Midwest Homestead Of Leawood Operations, LLC is located at 12720 State Line Rd, Leawood, KS 66209. The listed phone number is (913) 663-3351.

What is Midwest Homestead Of Leawood Operations, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 17D0970458) is associated with this NPI, valid through February 14, 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 Midwest Homestead Of Leawood Operations, LLC was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.