HOMESTEAD OF HOLTON OPERATIONS, LLC
NPI 1508732314
Assisted Living Facility in Holton, KS

Active since October 17, 2025CLIA 17D0955556 · Waiver
410 JUNIPER DR, HOLTON, KS 66436(785) 364-5051 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Of Holton Operations, Llc NPPES

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

HOMESTEAD OF HOLTON OPERATIONS, LLC (NPI 1508732314) is a healthcare organization registered as an assisted living facility in Holton, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508732314
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF HOLTON OPERATIONS, LLC
Location Address410 JUNIPER DRHolton, KS 66436-1535
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
NPI 1508732314 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.
410 JUNIPER DR, Holton, KS 66436

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 17D0955556

Homestead Of Holton · Holton, KS
Active · expires Jan 3, 2027
CLIA Number17D0955556
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJeremy Watkins
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Holton410 Juniper Drive, Holton, KS 66436
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
410 JUNIPER DR
HOLTON, KS 66436
Assisted Living Facility
410 JUNIPER DR
HOLTON, KS 66436
Clinic/Center (Adult Day Care)
410 JUNIPER DR
HOLTON, KS 66436

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 Holton Operations, LLC's NPI number?

The NPI number for Homestead Of Holton Operations, LLC is 1508732314. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Homestead Of Holton Operations, LLC located?

Homestead Of Holton Operations, LLC is located at 410 Juniper Dr, Holton, KS 66436. The listed phone number is (785) 364-5051.

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

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

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

Yes. A Certificate of Waiver (number 17D0955556) is associated with this NPI, valid through January 3, 2027. 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 Holton Operations, LLC was last updated on October 17, 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.