HOMESTEAD OF CHARITON MEMORY CARE
NPI 1619724374
Assisted Living Facility in Chariton, IA
About Homestead Of Chariton Memory Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMESTEAD OF CHARITON MEMORY CARE (NPI 1619724374) is a healthcare organization registered as an assisted living facility in Chariton, Iowa and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Cody Fulks, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
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 16D2270757
Homestead Of Chariton Mc · Chariton, IACertificate of Waiver 16D2114349
Homestead Of Chariton · Chariton, IAFrequently 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 Chariton Memory Care's NPI number?
The NPI number for Homestead Of Chariton Memory Care is 1619724374. It was assigned to this organization in the NPPES registry on May 1, 2024.
Where is Homestead Of Chariton Memory Care located?
Homestead Of Chariton Memory Care is located at 220 Northwestern Ave, Chariton, IA 50049. The listed phone number is (641) 255-2670.
What is Homestead Of Chariton Memory Care's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Homestead Of Chariton Memory Care hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Homestead Of Chariton Memory Care was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Homestead Of Chariton Memory Care · NPI 1619724374
Assisted Living Facility organization in Chariton, Iowa. Organization record, active in the CMS NPPES registry since May 1, 2024.
## Identity
- **NPI:** 1619724374 (Entity type: Organization)
- **Enumerated:** May 1, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Cody Fulks, CFO
## Practice location
- **Address:** 220 NORTHWESTERN AVE, Chariton, IA 50049-2307
- **Phone:** (641) 255-2670
## Record status
- **NPPES last updated:** May 1, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619724374) · Data from the CMS NPPES public registry.