Organization
HOMESTEAD OF SHENANDOAH OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY FULKS CPA (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
601 HARRISON ST, SHENANDOAH, IA 51601-2019
(712) 246-2194
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
(785) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up