1. Home
  2. Directory
  3. NPI Profile

WHEAT HAVEN HOME LLC
NPI 1396438958
Custodial Care Facility - Adult Care Home in Mcdonald, KS

Active since May 31, 2023CLIA 17D2205559 · Waiver
304 MARION ST, MCDONALD, KS 67745(785) 230-0244 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wheat Haven Home Llc NPPES

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

WHEAT HAVEN HOME LLC (NPI 1396438958) is a healthcare organization registered as an adult care home in Mcdonald, Kansas and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Bradley Porubsky, Member, as its authorized official.

NPPES Registry Identity

NPI1396438958
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWHEAT HAVEN HOME LLC
Location Address304 MARION STMcdonald, KS 67745
Mailing AddressPo Box 87Mc Donald, KS 67745-0087 · (785) 899-9009 · Fax (785) 414-5055
Phone(785) 230-0244
Organization SubpartNo
Authorized OfficialBradley PorubskyMember · (785) 230-0244
Enumeration DateMay 31, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1396438958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
304 MARION ST, Mcdonald, KS 67745
Open in Google Maps ↗

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 17D2205559

Wheat Haven Home LLC · Mcdonald, KS
Active · expires Dec 14, 2026
CLIA Number17D2205559
Laboratory TypeAdult Care Home
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorShelly Woolf
Laboratory Phone(785) 754-8223
Laboratory LocationWheat Haven Home LLC304 Marion Avenue, Mcdonald, KS 67745
CLIA data matches this NPI record on: 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 Wheat Haven Home LLC's NPI number?

The NPI number for Wheat Haven Home LLC is 1396438958. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Wheat Haven Home LLC located?

Wheat Haven Home LLC is located at 304 Marion St, Mcdonald, KS 67745. The listed phone number is (785) 230-0244.

What is Wheat Haven Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Wheat Haven Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2205559) is associated with this NPI, valid through December 14, 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 Wheat Haven Home LLC was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.