Lexington Park Nursing Operations, LLC
Organization Active NPI Skilled Nursing Facility · Topeka, KS
NPI 1962562785 · NPPES record last updated Jul 18, 2018
Key facts
- NPI
- 1962562785
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 175154 (KS)
- Legal business name
- LEXINGTON PARK NURSING OPERATIONS, LLC
- Practice address
- 1031 SW Fleming CT
Topeka, KS 66604 - Phone
- (785) 440-0500
- Fax
- (785) 440-0505
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Micahael D Tryon
- Title
- Cfo
- Phone
- (785) 272-1535
Facilities with the same owner 10
Practitioners 2
-
James V Rider, D.O.
Affiliated clinicians 3
-
Lee E Leinwetter, DO
-
James V Rider, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Lexington Park Nursing & Post Acute Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 2, 1985
- Medicare certification status
- Active
- Certified beds
- 90 · 80.5 residents per day on average
- Chain
- Midwest Health
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0450278 | Lexington Park Nursing | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Skilled nursing facility certification: CCN 175154
- Legal name
- LEXINGTON PARK NURSING OPERATIONS LLC
- Doing business as
- LEXINGTON PARK NURSING AND POST ACUTE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 2, 1985
- Last certification
- Jul 17, 2024
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- Midwest Health Inc.
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1031 SW Fleming CT
Topeka, KS 66604-1851 - Nursing home name
- LEXINGTON PARK NURSING & POST ACUTE CENTER
- Affiliated entity
- MIDWEST HEALTH
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Floyd Charles Eaton |
Corporate Director | Oct 21, 2003 | |
| James Brett Klausman Trust 2012 |
5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 24.75% |
| Adp of the SNF | Dec 9, 2024 | ||
| James a Klausman |
Corporate Director | Jun 26, 2003 | |
| Operational/Managerial Control | Nov 7, 2024 | ||
| Indirect Ownership Interest | Jun 26, 2003 | 0.5% | |
| Floyd C Eaton III Trust 2012 |
5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 24.75% |
| Adp of the SNF | Dec 9, 2024 | ||
| Midwest Health, Inc. 06122001 |
Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Dec 9, 2024 | ||
| Floyd Eaton |
Operational/Managerial Control | Nov 7, 2024 | |
| Indirect Ownership Interest | Jun 26, 2003 | 0.5% | |
| Jamie N Eaton Trust 2012 |
5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 24.75% |
| Adp of the SNF | Dec 9, 2024 | ||
| Michael Boulton |
Operational/Managerial Control | Oct 5, 2015 | |
| Adp of the SNF | Jun 18, 2025 | ||
| Michael Graham Klausman Trust 2012 |
5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 24.75% |
| Adp of the SNF | Dec 9, 2024 | ||
| Klaton Enterprises, LLC |
5% Or Greater Direct Ownership Interest | Jun 26, 2003 | 100% |
| Adp of the SNF | Dec 9, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031013000008 | KS | Part a Provider - Skilled Nursing Facility | 6204748122 | Practice locations: Topeka, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 175154 | KS | Yes |
Addresses
Primary practice location
1031 SW Fleming CT
Topeka, KS 66604
Mailing address
1031 SW Fleming CT
Topeka, KS 66604-1851
Phone (785) 440-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112050A | Medicaid | KS |
Other names
- LEXINGTON PARK NURSING AND POST ACUTE CENTER
Other providers in Topeka, KS
- Kelly Lora Lewis
- Olivia J Lewis
- Samara Lynn Lewis
- Tamra Lewis
- Lexington Park Assisted Living Operations, LLC
- Michael Paul Lexow
- Lori A Libel
- Liberty Senior Living-N H L L C
- Tiffany Liesmann
- Life Bridge, LLC
All providers in Topeka, KS · Skilled Nursing Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.