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HOMESTEAD OF DERBY
NPI 1700321486
Assisted Living Facility in Derby, KS

Active since January 04, 2017CLIA 17D0950654 · Waiver
1701 E WALNUT GROVE RD, DERBY, KS 67037(316) 788-9600(316) 788-8963 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Homestead Of Derby NPPES

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

HOMESTEAD OF DERBY (NPI 1700321486) is a healthcare organization registered as an assisted living facility in Derby, Kansas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700321486
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF DERBY OPERATIONS, LLC
Location Address1701 E WALNUT GROVE RDDerby, KS 67037-3528
Mailing Address3715 Sw 29th St Ste 200Topeka, KS 66614-2164 · (785) 272-1535 · Fax (785) 272-1480
Phone(316) 788-9600
Fax(316) 788-8963
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateJanuary 4, 2017
✔ NPI 1700321486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N087036
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.
1701 E WALNUT GROVE RD, Derby, KS 67037
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Other Names 1

Doing Business AsHomestead Of Derby

Other Identifiers 1

MedicaidN087036KS

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 17D0950654

Homestead Of Derby · Derby, KS
Active · expires Sep 7, 2028
CLIA Number17D0950654
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorDenise Rutenbeck
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Derby1701 Walnut Grove Road, Derby, KS 67037
CLIA data matches this NPI record on: 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.

VINTAGE PLACE OF DERBY
Assisted Living Facility
1701 E WALNUT GROVE RD
DERBY, KS 67037
Sedgwick County (316) 788-9600

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 Derby Operations, LLC's NPI number?

The NPI number for Homestead Of Derby Operations, LLC is 1700321486. It was assigned to this organization in the NPPES registry on January 4, 2017. The provider is doing business as Homestead Of Derby.

Where is Homestead Of Derby Operations, LLC located?

Homestead Of Derby Operations, LLC is located at 1701 E Walnut Grove Rd, Derby, KS 67037. The listed phone number is (316) 788-9600.

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

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

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

Yes. A Certificate of Waiver (number 17D0950654) is associated with this NPI, valid through September 7, 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 Derby Operations, LLC was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.