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General NPI Number Information
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NPI Number | 1366347403
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Entity Type | Organization
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Legal Business Name | HOMESTEAD OF HAYSVILLE OPERATIONS, LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 640 E. KARLA AVENUE
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City | HAYSVILLE
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State | KS
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Zip | 67060
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Country | US
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Telephone | 316-285-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 3024 SW WANAMAKER RD STE 300
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City | TOPEKA
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State | KS
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Zip | 66614-4498
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Country | US
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Telephone | 785-228-7971
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CODY FULKS
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Credential |
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Telephone | 785-228-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NULL
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