NPIMap

Organization Active NPI

Homestead Estates Home Plus

  • Adult Care Home Facility
  • Liberal, KS
National Provider Identifier
1851761332
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
B088002 Issued in KS
Legal business name
HOMESTEAD ESTATES HOME PLUS
Practice address
1140 S Pershing Ave
Liberal, KS 67901-4519
Phone
(620) 626-5672
Fax
(620) 626-0895
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Michelle L Lock-GoochNPI 1356523302
Title
Operator
Phone
(620) 626-5672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X B088002 KS Primary

Addresses

Primary practice location

1140 S Pershing Ave
Liberal, KS 67901-4519

Mailing address

1140 S Pershing Ave
Liberal, KS 67901-4519
Phone (620) 626-5672

National Provider Directory

National Provider Directory

Locations

1140 S Pershing Ave
Liberal, KS 67901
Phone (620) 626-5672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1851761332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S PERSHING AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014519",
            "telephone_number": "620-626-5672",
            "fax_number": "620-626-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S PERSHING AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014519",
            "telephone_number": "620-626-5672",
            "fax_number": "620-626-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD ESTATES HOME PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "LOCK-GOOCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "620-626-5672"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B088002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.