Organization Active NPI

Midwest Homestead of Lenexa Operations, LLC

  • Assisted Living Facility
  • Lenexa, KS
National Provider Identifier
1609936459
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
200303670A Issued in KS
Legal business name
MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC
Practice address
8740 Caenen Lake Rd
Lenexa, KS 66215-2069
Phone
(913) 894-0014
Fax
(913) 894-4147
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 200303670A KS Primary

Addresses

Primary practice location

8740 Caenen Lake Rd
Lenexa, KS 66215-2069

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200303670AMedicaidKS

Other names 1

  • HOMESTEAD OF LENEXA 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
17D1023126Homestead of Lenexa8740 Caenen Lake Road, Lenexa, KS 66215Certificate of waiverMar 8, 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": "1379548800000",
    "number": "1609936459",
    "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": "785-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 CAENEN LAKE RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152069",
            "telephone_number": "913-894-0014",
            "fax_number": "913-894-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-09-19",
        "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": "200303670A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200303670A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTEAD OF LENEXA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.