# MIDWEST HOMESTEAD OF LEAVENWORTH OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEAVENWORTH HOMESTEAD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366502197
- **Authorized official:** MR. MICHAEL D TRYON (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 5150 HUGHES RD, LEAVENWORTH, KS 66048-4973
- **Practice address phone:** (913) 727-9600
- **Practice address fax:** (913) 727-9604
- **Mailing address:** 3715 SW 29TH ST, TOPEKA, KS 66614-2107
- **Mailing address phone:** (785) 272-1535
- **Mailing address fax:** (785) 440-0380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | KS | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020