Homestead Estates of Overland Park Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMESTEAD ESTATES OF OVERLAND PARK OPERATIONS, LLC

Practice address

12701 Pflumm Rd
Overland Park, KS 66213-2317

Phone

(913) 490-5035

NPI assigned

Oct 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cody Fulks

Title

Cfo

Phone

(785) 272-1535

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1295601706",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PFLUMM RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132317",
            "telephone_number": "913-490-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD ESTATES OF OVERLAND PARK OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.