Midwest Homestead of Olathe Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

200304040A Issued in KS

Legal business name

MIDWEST HOMESTEAD OF OLATHE OPERATIONS, LLC

Practice address

791 N Somerset Ter
Olathe, KS 66062-5450

Phone

(913) 829-1403

Fax

(913) 829-6182

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• HOMESTEAD OF OLATHE - NORTH Doing business as

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

Homestead of Olathe - North2 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.

• Midwest Homestead of Olathe Operations, LLC

  • Assisted Living Facility
  • Olathe, KS
  • NPI 1982767034
  NPD tax ID

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1497815252",
    "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": "791 N SOMERSET TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625450",
            "telephone_number": "913-829-1403",
            "fax_number": "913-829-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOMESTEAD OF OLATHE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-08-02",
        "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": "200304040A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTEAD OF OLATHE - NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Olathe, KS
• Providers in Olathe, 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 Aug 2, 2013; 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.