Homestead of Osawatomie Operations, LLC
Organization Active NPI Assisted Living Facility · Osawatomie, KS
NPI 1285500629 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1285500629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- HOMESTEAD OF OSAWATOMIE OPERATIONS, LLC
- Practice address
- 1520 Parker Ave
Osawatomie, KS 66064-1702 - Phone
- (913) 755-2167
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Cody Fulks
- Title
- Compliance Manager
- Phone
- (785) 228-7971
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1025188 | Homestead of Osawatomie | Certificate of waiver | May 2, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1520 Parker Ave
Osawatomie, KS 66064-1702
Mailing address
3024 SW Wanamaker Rd Ste 300
Topeka, KS 66614-4498
Other providers in Osawatomie, KS
- Mary Harber
- Thyrone A. Harriman
- Alyson Lyn Hastings
- Laura Lea Henness
- Michael Patrick Herriges
- Julie Hurlock
- Olivia Gail Johnson
- Clayton Kellerman
- Laura Kellerman
- Steven Kinder
All providers in Osawatomie, KS · Assisted Living Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.