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KELLY HOUSE 1
NPI 1841626041
Assisted Living Facility in Topeka, KS

Active since September 19, 2013CLIA 17D2150058 · Waiver
2111 SW RANDOLPH AVE, TOPEKA, KS 66611(785) 234-8888(785) 234-0885 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly House 1 NPPES

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

KELLY HOUSE 1 (NPI 1841626041) is a healthcare organization registered as an assisted living facility in Topeka, Kansas and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841626041
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKELLY HOUSE OPERATIONS LLC
Location Address2111 SW RANDOLPH AVETopeka, KS 66611-1547
Mailing Address3715 Sw 29th St Ste 200Topeka, KS 66614-2164 · (785) 272-1535 · Fax (785) 272-1480
Phone(785) 234-8888
Fax(785) 234-0885
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateSeptember 19, 2013
✔ NPI 1841626041 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 · N089033
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.
2111 SW RANDOLPH AVE, Topeka, KS 66611
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Other Names 1

Doing Business AsKelly House 1

Other Identifiers 1

Medicaid100022540BKS

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 17D2150058

Kelly House Topeka #1 · Topeka, KS
Active · expires Jun 14, 2028
CLIA Number17D2150058
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorCrystal Mcqueen
Laboratory Phone(785) 228-7971
Laboratory LocationKelly House Topeka #12111 SW Randolph Avenue, Topeka, KS 66611
CLIA data matches this NPI record on: Address
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.

PEGGY KELLY HOUSE I
Home Health
2111 SW RANDOLPH AVE
TOPEKA, KS 66611
Shawnee County (785) 234-8888

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 Kelly House Operations LLC's NPI number?

The NPI number for Kelly House Operations LLC is 1841626041. It was assigned to this organization in the NPPES registry on September 19, 2013. The provider is doing business as Kelly House 1.

Where is Kelly House Operations LLC located?

Kelly House Operations LLC is located at 2111 SW Randolph Ave, Topeka, KS 66611. The listed phone number is (785) 234-8888.

What is Kelly House Operations LLC's specialty?

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

Does Kelly House Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2150058) is associated with this NPI, valid through June 14, 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 Kelly House Operations LLC was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.