Leisure Homestead Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N093002 Issued in KS

Legal business name

LEISURE HOMESTEAD ASSOCIATION

Doing business as

Leisure Homestead at Stafford

Practice address

405 Grand Ave
Stafford, KS 67578-2009

Phone

(620) 234-5208

Fax

(620) 234-6911

NPI assigned

Feb 14, 2007

Last updated

Jan 20, 2022By 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

Scott Younie

Title

Administrator

Phone

(620) 234-5208

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Leisure Homestead at Stafford Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447393160. Details of each certification follow.

• CCN 175530 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 175530

Legal name

LEISURE HOMESTEAD ASSOCIATION

Doing business as

LEISURE HOMESTEAD AT STAFFORD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 16, 2012

Last certification

Sep 21, 2023

Beds

37

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

405 Grand Ave
Stafford, KS 67578-2009

Nursing home name

LEISURE HOMESTEAD AT STAFFORD

Listed as

Leisure Homestead at StaffordCCN 175530 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 16, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3735.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Leisure Homestead Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leisure Homestead Association

  dba Home Plus

  • Home Health Agency
  • Stafford, KS
  • NPI 1770626350
  NPD tax ID

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Fredrick J Farmer III, D.O.

  • Family Medicine Physician
  • St John, KS
  • NPI 1174612105

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredrick J Farmer III, D.O.

  • Family Medicine Physician
  • St John, KS
  • NPI 1174612105
  NPD (past)
• Jean Pringle, M.D.

  • Internal Medicine Physician
  • Great Bend, KS
  • NPI 1912957580
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arika Fanshier

  • Family Nurse Practitioner
  • Great Bend, KS
  • NPI 1821446568

  Nursing home

  Care Compare affiliation
• Fredrick J Farmer III, D.O.

  • Family Medicine Physician
  • St John, KS
  • NPI 1174612105

  Nursing home

  Care Compare affiliation
• Jean Pringle, M.D.

  • Internal Medicine Physician
  • Great Bend, KS
  • NPI 1912957580

  Nursing home

  Care Compare affiliation
• Aaron M Zook, M.D.

  • Internal Medicine Physician
  • Pratt, KS
  • NPI 1922274117

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1447393160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GRAND AVE",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675782009",
            "telephone_number": "620-234-5208",
            "fax_number": "620-234-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GRAND AVE",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675782009",
            "telephone_number": "620-234-5208",
            "fax_number": "620-234-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE HOMESTEAD ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "YOUNIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-234-5208"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N093002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109230A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRY",
            "identifier": "N093002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAHSA ID",
            "identifier": "130494",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL PROVIDER NO",
            "identifier": "17E581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Homestead at Stafford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leisure Homestead at Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles L Craig, PA
• Tamara L Farmer, ARNP
• Raquel Garza
• Grene Vision Group LLC
• Heart of Kansas Family Health Care, Inc. (Stafford Clinic Site)
• Leisure Homestead Association (Home Plus)
• Alicia Sue Minks
• Stafford County Hospital
• Stafford County Hospital
• Stafford County Hospital

• Skilled Nursing Facility in Stafford, KS
• Providers in Stafford, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.