Homestead of Centerville Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMESTEAD OF CENTERVILLE OPERATIONS LLC

Doing business as

Homestead of Centerville

Practice address

19999 Saint Joseph Dr
Centerville, IA 52544-9032

Phone

(641) 437-1999

Fax

(641) 437-4258

NPI assigned

Sep 9, 2014

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, CPA

Title

CFP

Phone

(785) 272-1535

Specialties & licenses 1

Addresses

Other names 1

• Homestead of Centerville Doing business as

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1508267659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST",
            "address_2": "SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142107",
            "telephone_number": "785-272-1535",
            "fax_number": "785-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19999 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449032",
            "telephone_number": "641-437-1999",
            "fax_number": "641-437-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD OF CENTERVILLE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFP",
        "authorized_official_telephone_number": "785-272-1535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead of Centerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence E Heffron, D.C.
• Larry G Heikes, MD
• Drew Higgins, PT
• Rachel Higgins
• Nicholas Gene Hindley
• Hometown Medical & Equipment, LLC
• Paige Houser, ARNP
• Dianne Humphrey, ARNP
• Zach Hutt, DC
• Hy-Vee Inc

• Assisted Living Facility in Centerville, IA
• Providers in Centerville, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.