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HOMESTEAD OF WATERFRONT OPERATIONS LLC
NPI 1912873662
Assisted Living Facility in Wichita, KS

Active since October 10, 2025CLIA 17D0931280 · Waiver
900 N BAYSHORE DR, WICHITA, KS 67212(316) 945-3344 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homestead Of Waterfront Operations Llc NPPES

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

HOMESTEAD OF WATERFRONT OPERATIONS LLC (NPI 1912873662) is a healthcare organization registered as an assisted living facility in Wichita, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912873662
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF WATERFRONT OPERATIONS LLC
Location Address900 N BAYSHORE DRWichita, KS 67212-4807
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498 · (785) 272-1535
Phone(316) 945-3344
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1912873662 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.
900 N BAYSHORE DR, Wichita, KS 67212
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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 17D0931280

Homestead Of Waterfront · Wichita, KS
Active · expires Jul 24, 2027
CLIA Number17D0931280
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorMaggie Werner
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Waterfront900 N Bayshore Drive, Wichita, KS 67212
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CPF SENIOR LIVING - WATERFRONT LLC
Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212
Sedgwick County (316) 945-3344
VINTAGE PARK AT WATERFRONT, LLC
Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212
Sedgwick County (316) 945-3344
WATERFRONT INN ASSISTED LIVING, L.L.C.
Assisted Living Facility
900 N BAYSHORE DR
WICHITA, KS 67212
Sedgwick County (316) 945-3344
HEALTHPRO HERITAGE REHAB & FITNESS, LLC
Physical Therapist
900 N BAYSHORE DR
WICHITA, KS 67212
Sedgwick County (410) 667-7200

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 Waterfront Operations LLC's NPI number?

The NPI number for Homestead Of Waterfront Operations LLC is 1912873662. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Homestead Of Waterfront Operations LLC located?

Homestead Of Waterfront Operations LLC is located at 900 N Bayshore Dr, Wichita, KS 67212. The listed phone number is (316) 945-3344.

What is Homestead Of Waterfront Operations LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 17D0931280) is associated with this NPI, valid through July 24, 2027. 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 Waterfront Operations LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.