Active NPI
Western Prairie Nursing Facility Operations LLC
- Skilled Nursing Facility
- Ulysses, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 2017
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Midwest Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0718679 | Western Prairie Senior Living | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aerial Foutch | W-2 Managing Employee | Nov 27, 2024 | |
| Adp of the SNF | Jan 2, 2025 | ||
| James Brett Klausman Trust 2012 | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 24.75% |
| Adp of the SNF | Jan 2, 2025 | ||
| James a Klausman | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 0.5% |
| Corporate Officer | 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 | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 24.75% |
| Adp of the SNF | Jan 2, 2025 | ||
| Western Prairie Nursing Facility Operations LLC | 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 | Operational/Managerial Control | Sep 1, 2017 | |
| Adp of the SNF | Jan 2, 2025 | ||
| Floyd Eaton | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 0.5% |
| Corporate Officer | Sep 1, 2017 | 0.5% | |
| Operational/Managerial Control | Nov 27, 2024 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.5% | |
| Jamie N Eaton Trust 2012 | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 24.75% |
| Adp of the SNF | Jan 2, 2025 | ||
| Michael Graham Klausman Trust 2012 | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 24.75% |
| Adp of the SNF | Jan 2, 2025 | ||
| Klaton Ventures, LLC | 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.
-
dba Halstead Health and Rehabilitation
- Skilled Nursing Facility
- Halstead, KS
- NPI 1508926312
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Holiday Resort of Salina
- Skilled Nursing Facility
- Salina, KS
- NPI 1801956610
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Lexington Park Nursing and Post Acute Center
- Skilled Nursing Facility
- Topeka, KS
- NPI 1962562785
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Pioneer Ridge Retirement Community
- Skilled Nursing Facility
- Lawrence, KS
- NPI 1467512137
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
- Skilled Nursing Facility
- Garden City, KS
- NPI 1700383759
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Rolling Hills Health Center
- Skilled Nursing Facility
- Topeka, KS
- NPI 1134289804
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Stoneybrook Retirement Community
- Skilled Nursing Facility
- Manhattan, KS
- NPI 1912067695
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Twin Oaks Health and Rehab
- Skilled Nursing Facility
- Lansing, KS
- NPI 1134472640
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
- Nursing Facility/Intermediate Care Facility
- Valley Falls, KS
- NPI 1740340439
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
-
dba Arrowhead Retirement Community
- Skilled Nursing Facility
- Osage Beach, MO
- NPI 1982172342
Floyd C Eaton III Trust 2012, James Brett Klausman Trust 2012, Jamie N Eaton Trust 2012, Michael Graham Klausman Trust 2012, Midwest Health, Inc. 06122001
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.
-
- Nurse Practitioner
- Syracuse, KS
- NPI 1538196332
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
- Ulysses Eyecare, PA
- Unified School District #214
- United Methodist Western Kansas Mexican American Ministries,Inc. (Genesis Family Health)
- United Methodist Western Kansas Mexican-American Ministries, Inc. (Genesis Family Health)
- Western Prairie Assisted Living Operations LLC
- McKenzie Taylor Williams
- John Robert Zirkle, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.