HOMESTEAD OF TONGANOXIE OPERATIONS LLC
NPI 1952277600
Assisted Living Facility in Tonganoxie, KS

Active since October 10, 2025CLIA 17D1100906 · Waiver
120 W 8TH ST, TONGANOXIE, KS 66086(913) 845-2204 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homestead Of Tonganoxie Operations Llc NPPES

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

HOMESTEAD OF TONGANOXIE OPERATIONS LLC (NPI 1952277600) is a healthcare organization registered as an assisted living facility in Tonganoxie, Kansas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Cody Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952277600
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF TONGANOXIE OPERATIONS LLC
Location Address120 W 8TH STTonganoxie, KS 66086-8810
Mailing Address3024 Sw Wanamaker Rd Ste 300Topeka, KS 66614-4498 · (785) 272-1535
Organization SubpartNo
Authorized OfficialCody FulksCfo · (785) 272-1535
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
NPI 1952277600 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.
120 W 8TH ST, Tonganoxie, KS 66086

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 17D1100906

Homestead Of Tonganoxie · Tonganoxie, KS
Active · expires Jun 14, 2027
CLIA Number17D1100906
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorBrandy Coons
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Tonganoxie120 W 8th Street, Tonganoxie, KS 66086
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 2

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

Physical Therapist
120 W 8TH ST
TONGANOXIE, KS 66086
Assisted Living Facility
120 W 8TH ST
TONGANOXIE, KS 66086

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 Tonganoxie Operations LLC's NPI number?

The NPI number for Homestead Of Tonganoxie Operations LLC is 1952277600. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Homestead Of Tonganoxie Operations LLC located?

Homestead Of Tonganoxie Operations LLC is located at 120 W 8th St, Tonganoxie, KS 66086. The listed phone number is (913) 845-2204.

What is Homestead Of Tonganoxie Operations LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 17D1100906) is associated with this NPI, valid through June 14, 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 Tonganoxie 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.