# LEISURE HOMESTEAD ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOME PLUS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770626350
- **Authorized official:** SCOTT YOUNIE (ADMINISTRATOR)
- **Authorized official phone:** (620) 234-5208

## Contact information

- **Practice address:** 503 S BUFFALO ST, STAFFORD, KS 67578-2040
- **Practice address phone:** (620) 234-5208
- **Practice address fax:** (620) 234-6911
- **Mailing address:** 405 GRAND AVE, STAFFORD, KS 67578-2009
- **Mailing address phone:** (620) 234-5208
- **Mailing address fax:** (620) 234-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | N093002 | KS | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 01/20/2022