Organization Active NPI

Pioneer Ridge Nursing Facility Operations, LLC

Doing business as Pioneer Ridge Retirement Community

  • Skilled Nursing Facility
  • Lawrence, KS
National Provider Identifier
1467512137
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
175445 Issued in KS
Legal business name
PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Doing business as
Pioneer Ridge Retirement Community
Practice address
4851 Harvard Road
Lawrence, KS 66049
Phone
(785) 749-2000
Fax
(785) 344-1199
NPI assigned
Dec 11, 2006
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
Mr. Mike D Tryon
Title
Cfo
Phone
(785) 272-1535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100112080A KS
Skilled Nursing Facility 314000000X 175445 KS Primary

Addresses

Primary practice location

4851 Harvard Road
Lawrence, KS 66049

Mailing address

3024 SW Wanamaker Rd Ste 300
Topeka, KS 66614-4498
Phone (785) 228-7913

Other identifiers 1

IdentifierTypeStateIssuer
100112080AMedicaidKS

Other names 1

  • Pioneer Ridge Retirement Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031008000031 KS Part A Provider - Skilled Nursing Facility 0244142123 Practice locations: Lawrence, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467512137. Details of each certification follow.

Skilled nursing facility certification: CCN 175445

Legal name
PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Doing business as
PIONEER RIDGE RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 12, 2001
Last certification
Oct 17, 2024
Beds
146 (76 certified)
Ownership / control type
Partnership
Multi-facility organization
Midwest Health Management
Organization structure
LLCProprietary
Enrollment address
4851 Harvard Rd
Lawrence, KS 66049-3964
Nursing home name
PIONEER RIDGE RETIREMENT COMMUNITY
Affiliated entity
MIDWEST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pioneer Ridge Retirement CommunityCCN 175445 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jul 12, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7659.4 residents per day on average
Chain
Midwest Health11 facilities in the chain
Penalties (3 years)
2Fines totaling $29,286

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
17D0986841Pioneer Ridge Retirement Community4851 Harvard Road, Lawrence, KS 66049Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Midwest Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Floyd Charles Eaton Individual 5% Or Greater Direct Ownership Interest Jun 26, 2003 50%
Corporate Director Oct 21, 2003
James Brett Klausman Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Jul 1, 2016 24.75%
Adp of the SNF Dec 27, 2024
James a Klausman Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2003 0.5%
Corporate DirectorPresident Jun 26, 2003 50%
Operational/Managerial Control Nov 7, 2024
Indirect Ownership Interest Jun 26, 2003 0.5%
Floyd C Eaton III Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Jul 1, 2016 24.75%
Adp of the SNF Dec 27, 2024
Midwest Health, Inc. 06122001 Organization, Topeka, KS Corporation, Chain home office Operational/Managerial Control Jan 1, 2010
Adp of the SNF Dec 27, 2024
Floyd Eaton Individual 5% Or Greater Indirect Ownership InterestVice-President Jun 26, 2003 0.5%
Operational/Managerial Control Nov 7, 2024
Indirect Ownership Interest Jun 26, 2003 0.5%
Jamie N Eaton Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Jul 1, 2016 24.75%
Adp of the SNF Dec 27, 2024
Michael Graham Klausman Trust 2012 Organization, Topeka, KS 5% Or Greater Indirect Ownership Interest Jul 1, 2016 24.75%
Adp of the SNF Dec 27, 2024
Klaton Enterprises, LLC Organization, Topeka, KS Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 26, 2003 100%
Adp of the SNF Dec 27, 2024

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 3

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1467512137",
    "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": "785-228-7913",
            "fax_number": "785-438-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 HARVARD ROAD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-749-2000",
            "fax_number": "785-344-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-272-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "100112080A",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "175445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Ridge Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Ridge Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.