MIDWEST HOMESTEAD OF OLATHE OPERATIONS LLC NPI 1497815252

NPI Information

  • NPI: 1497815252
  • Provider Name: MIDWEST HOMESTEAD OF OLATHE OPERATIONS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: HOMESTEAD OF OLATHE - NORTH
  • CLIA Number: 17D1031885
  • Address: 791 N SOMERSET TER
    OLATHE, KS
    ZIP 66062
  • Phone: (913) 829-1403

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NPI Details

MIDWEST HOMESTEAD OF OLATHE OPERATIONS, LLC is an assisted living facility in Olathe, 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 OLATHE OPERATIONS, LLC NPI is 1497815252. The provider is registered as an organization entity type.
The provider Is Doing Business As Homestead Of Olathe - North.

The provider's business location address is:

791 N SOMERSET TER
OLATHE, KS
ZIP 66062-450
Phone: (913) 829-1403
Fax: (913) 829-6182

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 17D1031885 - 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 8/2/2013.

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
1310400000XAssisted Living Facility200304040AKANSASYes

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
1200304040AMEDICAIDKANSAS

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: 3/30/2025

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