HOMESTEAD OF HIAWATHA OPERATIONS LLC
NPI 1871469510
Assisted Living Facility in Hiawatha, KS
About Homestead Of Hiawatha Operations Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMESTEAD OF HIAWATHA OPERATIONS LLC (NPI 1871469510) is a healthcare organization registered as an assisted living facility in Hiawatha, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Cody Fulks, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
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
- 17D0955553
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 04, 2025
- Certificate Expiration Date
- January 03, 2027
- Laboratory Director
- HEATHER WILLIAMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Homestead Of Hiawatha 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 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871469510, enumerated as an "organization" on October 10, 2025.
The provider is located at 400 KANSAS AVE HIAWATHA, KS 66434 and the phone number is (785) 742-4566.
Assisted Living Facility with taxonomy code 310400000X.
