MIDWEST HOMESTEAD OF LENEXA OPERATIONS LLC NPI 1609936459

NPI Information

NPI: 1609936459
Provider Name: MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC

Doing Business As: HOMESTEAD OF LENEXA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
8740 CAENEN LAKE RD
LENEXA, KS
ZIP 66215
Phone: (913) 894-0014
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MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC is an assisted living facility in Lenexa, KS. The provider is 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. MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC NPI is 1609936459. The provider is registered as an organization entity type.
The provider Is Doing Business As Homestead Of Lenexa.

The provider's business location address is:

8740 CAENEN LAKE RD
LENEXA, KS
ZIP 66215-069
Phone: (913) 894-0014
Fax: (913) 894-4147

The provider's authorized official is Michael D Tryon .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The CLIA number assigned to this NPI record is 17D1023126 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 9/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		200303670A	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200303670A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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