HOMESTEAD OF CLINTON OPERATIONS LLC
NPI 1740853878
Assisted Living Facility in Clinton, OK

Active since July 16, 2021CLIA 37D2199250 · Waiver
3200 HAYES AVE, CLINTON, OK 73601(580) 470-0609 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Of Clinton Operations Llc NPPES

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

HOMESTEAD OF CLINTON OPERATIONS LLC (NPI 1740853878) is a healthcare organization registered as an assisted living facility in Clinton, Oklahoma and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740853878
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF CLINTON OPERATIONS LLC
Location Address3200 HAYES AVEClinton, OK 73601-3514
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498 · (785) 272-1535
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
NPI 1740853878 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.
3200 HAYES AVE, Clinton, OK 73601

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 37D2199250

Homestead Of Clinton · Clinton, OK
Active · expires Nov 5, 2026
CLIA Number37D2199250
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorAshleigh Spencer
Laboratory Phone(580) 323-0990
Laboratory LocationHomestead Of Clinton3200 W Hayes Attn Michelle, Clinton, OK 73601
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 2

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

Point of Service
3200 HAYES AVE
CLINTON, OK 73601
Assisted Living Facility
3200 HAYES AVE
CLINTON, OK 73601

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 Clinton Operations LLC's NPI number?

The NPI number for Homestead Of Clinton Operations LLC is 1740853878. It was assigned to this organization in the NPPES registry on July 16, 2021.

Where is Homestead Of Clinton Operations LLC located?

Homestead Of Clinton Operations LLC is located at 3200 Hayes Ave, Clinton, OK 73601. The listed phone number is (580) 470-0609.

What is Homestead Of Clinton Operations LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 37D2199250) is associated with this NPI, valid through November 5, 2026. 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 Clinton Operations LLC was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.