Active NPI
Midwest Homestead of Lenexa Operations, LLC
- Assisted Living Facility
- Lenexa, KS
National Provider Identifier
1609936459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 200303670A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200303670A | Medicaid | KS |
Other names 1
- HOMESTEAD OF LENEXA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1023126 | Homestead of Lenexa | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.