HOMESTEAD ESTATES WICHITA OPERATIONS LLC
NPI 1649858077
Assisted Living Facility in Wichita, KS

Active since March 29, 2021CLIA 17D2324498 · Waiver
10550 E 21ST ST N, WICHITA, KS 67206(316) 712-0145 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 17D2324498
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 05-26-2027

About HOMESTEAD ESTATES WICHITA OPERATIONS LLC

This page provides the complete NPI Profile along with additional information for Homestead Estates Wichita Operations Llc, a provider established in Wichita, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649858077 assigned on March 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Michael D Tryon Cpa (Cfo)

NPI
1649858077 Verify this NPI
Provider Name
HOMESTEAD ESTATES WICHITA OPERATIONS LLC
Entity Type
Organization
Location Address
10550 E 21ST ST N WICHITA, KS 67206
Location Phone
(316) 712-0145
Mailing Address
3024 SW WANAMAKER RD STE 300 TOPEKA, KS 66614
Mailing Phone
(785) 272-1535
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2021
Last Update Date
03-29-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL D TRYON CPA

Authorized Official Title
CFO
Authorized Official Phone
(785) 272-1535

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D2324498
Facility Type
Assisted Living Facility
Certificate Effective Date
May 27, 2025
Certificate Expiration Date
May 26, 2027
Laboratory Director
KIMBERLIE STEWART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Homestead Estates Wichita Operations Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
10550 E 21ST ST N
WICHITA, KS 67206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649858077, enumerated as an "organization" on March 29, 2021.

The provider is located at 10550 E 21ST ST N WICHITA, KS 67206 and the phone number is (316) 712-0145.

Assisted Living Facility with taxonomy code 310400000X.