HOMESTEAD OF GARDEN CITY
NPI 1023178860
Nursing Facility/Intermediate Care Facility in Garden City, KS

NPI Status: Active since December 11, 2006

Contact Information

2414 N HENDERSON DR
GARDEN CITY, KS
ZIP 67846
Phone: (620) 272-9800
Fax: (620) 272-0555

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 17D0908761
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-13-2025

About HOMESTEAD OF GARDEN CITY

This page provides the complete NPI Profile along with additional information for Homestead Of Garden City, a provider established in Garden City, Kansas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1023178860 assigned on December 2006. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Homestead Of Garden City. The authorized official of this NPI record is Mr. Michael D Tryon (Cfo)

NPI
1023178860
Provider Legal Name
MIDWEST HOMESTEAD OF GARDEN CITY OPERATIONS, LLC
Other Organization Name
HOMESTEAD OF GARDEN CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2414 N HENDERSON DR GARDEN CITY, KS 67846
Location Phone
(620) 272-9800
Location Fax
(620) 272-0555
Mailing Address
3715 SW 29TH ST TOPEKA, KS 66614
Mailing Phone
(785) 272-1535
Mailing Fax
(620) 272-0555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License State
KS
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL D TRYON

Authorized Official Title
CFO
Authorized Official Phone
(785) 272-1535

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0908761
Facility Type
Assisted Living Facility
Certificate Effective Date
November 14, 2023
Certificate Expiration Date
November 13, 2025
Laboratory Director
TIMOTHY L. WHITE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Homestead Of Garden City to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023178860
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20432716812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 7 + 1 + 6 + 8 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023178860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023178860, enumerated in the NPI registry as an "organization" on December 11, 2006

The provider is located at 2414 N Henderson Dr Garden City, Ks 67846 and the phone number is (620) 272-9800

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

The provider's CLIA number is 17D0908761 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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