# HOMESTEAD OF HAYSVILLE OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366347403
- **Authorized official:** CODY FULKS (PRESIDENT)
- **Authorized official phone:** (785) 228-7920

## Contact information

- **Practice address:** 640 E. KARLA AVENUE, HAYSVILLE, KS 67060
- **Practice address phone:** (316) 285-1244
- **Mailing address:** 3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
- **Mailing address phone:** (785) 228-7971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2026
- **Last updated:** 10/09/2026