Active NPI
Homestead of Algona Operations LLC
- Assisted Living Facility
- Algona, IA
National Provider Identifier
1134870272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HOMESTEAD OF ALGONA OPERATIONS LLC
- Practice address
- 512 N Finn Dr
Algona, IA 50511-7228 - Phone
- (515) 395-1212
- NPI assigned
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Fulks, CPA
- Title
- Cfo
- Phone
- (785) 272-1535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
512 N Finn Dr
Algona, IA 50511-7228
Mailing address
3024 SW Wanamaker Rd Ste 300
Topeka, KS 66614-4498
Phone (785) 272-1535
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2257881 | Homestead of Algona Operations, LLC | Certificate of waiver | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1134870272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 SW WANAMAKER RD STE 300",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666144498",
"telephone_number": "785-272-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 N FINN DR",
"city": "ALGONA",
"state": "IA",
"postal_code": "505117228",
"telephone_number": "515-395-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD OF ALGONA OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "FULKS",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "785-272-1535",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Algona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.