HOMESTEAD OF OVERLAND PARK OPERATIONS LLC NPI 1780141952

NPI Information

HOMESTEAD OF OVERLAND PARK OPERATIONS LLC is an assisted living facility in Overland Park, 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. HOMESTEAD OF OVERLAND PARK OPERATIONS LLC NPI is 1780141952. The provider is registered as an organization entity type.

The provider's business location address is:

11701 NIEMAN RD
OVERLAND PARK, KS
ZIP 66210-310
Phone: (913) 345-2200

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 17D2057490 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.

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:

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