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HOMESTEAD OF RUSSELL
NPI 1992240675
Assisted Living Facility in Russell, KS

Active since January 04, 2017CLIA 17D2142787 · Waiver
1070 E WICHITA AVE, RUSSELL, KS 67665(785) 483-5882(785) 483-2797 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homestead Of Russell NPPES

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

HOMESTEAD OF RUSSELL (NPI 1992240675) is a healthcare organization registered as an assisted living facility in Russell, Kansas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Michael D Tryon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992240675
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF RUSSELL OPERATIONS, LLC
Location Address1070 E WICHITA AVERussell, KS 67665-2409
Mailing Address3715 Sw 29th St Ste 200Topeka, KS 66614-2164 · (785) 272-1535 · Fax (785) 272-1480
Phone(785) 483-5882
Fax(785) 483-2797
Organization SubpartNo
Authorized OfficialMichael D TryonCfo · (785) 272-1535
Enumeration DateJanuary 4, 2017
✔ NPI 1992240675 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 · N084007
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.
1070 E WICHITA AVE, Russell, KS 67665
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Other Names 1

Doing Business AsHomestead Of Russell

Other Identifiers 1

MedicaidN084007KS

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 17D2142787

Homestead Of Russell · Russell, KS
Active · expires Jan 18, 2028
CLIA Number17D2142787
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorAlicia Rincon
Laboratory Phone(785) 228-7971
Laboratory LocationHomestead Of Russell1070 E Wichita Avenue, Russell, KS 67665
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

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

VINTAGE PLACE OF RUSSELL, INC.
Assisted Living Facility
1070 E WICHITA AVE
RUSSELL, KS 67665
Russell County (785) 483-5882

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 Russell Operations, LLC's NPI number?

The NPI number for Homestead Of Russell Operations, LLC is 1992240675. It was assigned to this organization in the NPPES registry on January 4, 2017. The provider is doing business as Homestead Of Russell.

Where is Homestead Of Russell Operations, LLC located?

Homestead Of Russell Operations, LLC is located at 1070 E Wichita Ave, Russell, KS 67665. The listed phone number is (785) 483-5882.

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

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

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

Yes. A Certificate of Waiver (number 17D2142787) is associated with this NPI, valid through January 18, 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 Russell Operations, LLC was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.