Homestead of Haysville Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMESTEAD OF HAYSVILLE OPERATIONS, LLC

Practice address

640 E. Karla Avenue
Haysville, KS 67060

Phone

(316) 285-1244

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

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

President

Phone

(785) 228-7920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1366347403",
    "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": "785-228-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E. KARLA AVENUE",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "67060",
            "telephone_number": "316-285-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD OF HAYSVILLE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-228-7920"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Hart Heinle
• Amy D Hidalgo
• Amber Hilger
• Lindsay Renae Holman, APRN
• James Edward Holt, T-LPC
• Melanie D Hooper, DPT
• Cody L Hoss, O.D.
• Brandon A Hughes
• Jamie Marie Huss, PMHNP-BC
• Charles J Jordan, D.D.S.

• Assisted Living Facility in Haysville, KS
• Providers in Haysville, 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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.