Organization Active NPI

Western Prairie Nursing Facility Operations LLC

  • Skilled Nursing Facility
  • Ulysses, KS
National Provider Identifier
1205358959
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WESTERN PRAIRIE NURSING FACILITY OPERATIONS LLC
Practice address
510 E San Jacinto Ave
Ulysses, KS 67880
Phone
(620) 356-3331
Fax
(620) 356-1932
NPI assigned
Jul 14, 2017
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael D Tryon
Title
Cfo
Phone
(785) 272-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

510 E San Jacinto Ave
Ulysses, KS 67880

Mailing address

3024 SW Wanamaker Rd Ste 300
Topeka, KS 66614-4498
Phone (785) 272-1535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229001811 KS Part A Provider - Skilled Nursing Facility 6103184866 Practice locations: Ulysses, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205358959. Details of each certification follow.

Skilled nursing facility certification: CCN 175559

Legal name
WESTERN PRAIRIE NURSING FACILITY OPERATIONS LLC
Doing business as
WESTERN PRAIRIE SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 2017
Last certification
Dec 7, 2023
Beds
84 (60 certified)
Ownership / control type
Corporation
Multi-facility organization
Midwest Health Inc.
Organization structure
LLCProprietary
Enrollment address
510 E San Jacinto Ave
Ulysses, KS 67880-2241
Nursing home name
WESTERN PRAIRIE SENIOR LIVING LLC
Affiliated entity
MIDWEST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Western Prairie Senior Living LLCCCN 175559 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6030.9 residents per day on average
Chain
Midwest Health11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0718679Western Prairie Senior Living510 E San Jacinto Avenue, Ulysses, KS 67880Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aerial Foutch Individual W-2 Managing EmployeeAd; Nov 27, 2024
Adp of the SNF Jan 2, 2025
James Brett Klausman Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2017 24.75%
Adp of the SNF Jan 2, 2025
James a Klausman Individual 5% Or Greater Indirect Ownership InterestPresident Sep 1, 2017 0.5%
Corporate OfficerPresident Sep 1, 2017 0.5%
Operational/Managerial Control Nov 27, 2024
Indirect Ownership Interest Sep 1, 2017 0.5%
Floyd C Eaton III Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2017 24.75%
Adp of the SNF Jan 2, 2025
Western Prairie Nursing Facility Operations LLC Organization, Topeka, KS Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Operational/Managerial Control Nov 27, 2024
Adp of the SNF Jan 2, 2025
Midwest Health, Inc. 06122001 Organization, Topeka, KS Corporation, Management services company, Chain home office Operational/Managerial Control Sep 1, 2017
Adp of the SNF Jan 2, 2025
Floyd Eaton Individual 5% Or Greater Indirect Ownership InterestVice-President Sep 1, 2017 0.5%
Corporate OfficerVice-President Sep 1, 2017 0.5%
Operational/Managerial Control Nov 27, 2024
Indirect Ownership Interest Sep 1, 2017 0.5%
Jamie N Eaton Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2017 24.75%
Adp of the SNF Jan 2, 2025
Michael Graham Klausman Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Sep 1, 2017 24.75%
Adp of the SNF Jan 2, 2025
Klaton Ventures, LLC Organization, Topeka, KS Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 100%
Adp of the SNF Jan 2, 2025

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1205358959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 SW WANAMAKER RD STE 300",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144498",
            "telephone_number": "785-272-1535",
            "fax_number": "785-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E SAN JACINTO AVE",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "67880",
            "telephone_number": "620-356-3331",
            "fax_number": "620-356-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PRAIRIE NURSING FACILITY OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-272-1535"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.