Organization Active NPI

Midwest Homestead of Manhattan Operations, LLC

  • Assisted Living Facility
  • Manhattan, KS
National Provider Identifier
1477613222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS, LLC
Doing business as
HOMESTEAD OF MANHATTAN
Practice address
1923 Little Kitten Ave
Manhattan, KS 66503-7583
Phone
(785) 776-1772
Fax
(785) 565-9707
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael D Tryon
Title
Cfo
Phone
(785) 272-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X KS Primary

Addresses

Primary practice location

1923 Little Kitten Ave
Manhattan, KS 66503-7583

Mailing address

3715 SW 29TH St
Topeka, KS 66614-2107
Phone (785) 272-1535

Other names 1

  • HOMESTEAD OF MANHATTAN Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0945241Homestead of Manhattan1923 Little Kitten Ave, Manhattan, KS 66503Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477613222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142107",
            "telephone_number": "785-272-1535",
            "fax_number": "785-440-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 LITTLE KITTEN AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037583",
            "telephone_number": "785-776-1772",
            "fax_number": "785-565-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-272-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTEAD OF MANHATTAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.