HOMESTEAD OF SHENANDOAH OPERATIONS LLC
NPI 1598416620
Assisted Living Facility in Shenandoah, IA

Active since January 11, 2022CLIA 16D2257885 · Waiver
601 HARRISON ST, SHENANDOAH, IA 51601(712) 246-2194 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Of Shenandoah Operations Llc NPPES

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

HOMESTEAD OF SHENANDOAH OPERATIONS LLC (NPI 1598416620) is a healthcare organization registered as an assisted living facility in Shenandoah, Iowa and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1598416620
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF SHENANDOAH OPERATIONS LLC
Location Address601 HARRISON STShenandoah, IA 51601-2019
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498 · (785) 272-1535
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1598416620 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.
601 HARRISON ST, Shenandoah, IA 51601

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 16D2257885

Homestead Of Shenandoah Operations, LLC · Shenandoah, IA
Active · expires Apr 11, 2028
CLIA Number16D2257885
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorLeeann Davis
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Shenandoah Operations, LLC601 Harrison Street, Shenandoah, IA 51601
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

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

Alzheimer Center (Dementia Center)
601 HARRISON ST
SHENANDOAH, IA 51601

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 Shenandoah Operations LLC's NPI number?

The NPI number for Homestead Of Shenandoah Operations LLC is 1598416620. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Homestead Of Shenandoah Operations LLC located?

Homestead Of Shenandoah Operations LLC is located at 601 Harrison St, Shenandoah, IA 51601. The listed phone number is (712) 246-2194.

What is Homestead Of Shenandoah Operations LLC's specialty?

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

Does Homestead Of Shenandoah Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2257885) is associated with this NPI, valid through April 11, 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 Of Shenandoah Operations LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.