Organization
HOMESTEAD OF OSKALOOSA OPERATIONS LLC
Active
Other names
Maple Ridge Assistant Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TRYON (CHIEF FINANCIAL OFFICER)
(785) 228-7913
Entity
Organization
Contact information
Practice address
2102 SOUTH MARKET STREET, OSKALOOSA, IA 52577
(641) 672-1090
(641) 672-1116
Mailing address
3715 SW 29TH STREET, TOPEKA, KS 66614
(785) 272-1535
(785) 272-1480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0186
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428839
—
IA
Enumeration date
04/16/2007
Last updated
11/10/2011
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