HOMESTEAD OF OTTAWA OPERATIONS, LLC
NPI 1922974534
Assisted Living Facility in Ottawa, KS

Active since October 13, 2025CLIA 17D1083733 · Waiver
2250 S ELM ST, OTTAWA, KS 66067(785) 242-3715 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Of Ottawa Operations, Llc NPPES

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

HOMESTEAD OF OTTAWA OPERATIONS, LLC (NPI 1922974534) is a healthcare organization registered as an assisted living facility in Ottawa, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922974534
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF OTTAWA OPERATIONS, LLC
Location Address2250 S ELM STOttawa, KS 66067-4003
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1922974534 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.
2250 S ELM ST, Ottawa, KS 66067

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 17D1083733

Homestead Of Ottawa · Ottawa, KS
Active · expires May 7, 2028
CLIA Number17D1083733
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorTina Caruthers
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Ottawa2250 South Elm Street, Ottawa, KS 66067
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 3

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

Assisted Living Facility
2250 S ELM ST
OTTAWA, KS 66067
Assisted Living Facility
2250 S ELM ST
OTTAWA, KS 66067
Occupational Therapist
2250 S ELM ST
OTTAWA, KS 66067

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 Ottawa Operations, LLC's NPI number?

The NPI number for Homestead Of Ottawa Operations, LLC is 1922974534. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Homestead Of Ottawa Operations, LLC located?

Homestead Of Ottawa Operations, LLC is located at 2250 S Elm St, Ottawa, KS 66067. The listed phone number is (785) 242-3715.

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

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

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

Yes. A Certificate of Waiver (number 17D1083733) is associated with this NPI, valid through May 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 Ottawa Operations, LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.