Arrowhead Retirement Operations LLC
Organization Active NPI Skilled Nursing Facility · Osage Beach, MO
NPI 1982172342 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1982172342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ARROWHEAD RETIREMENT OPERATIONS LLC
- Practice address
- 6100 Arrowhead Drive
Osage Beach, MO 65065 - Phone
- (573) 302-7111
- NPI assigned
- Nov 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael D Tryon, CPA
- Title
- Cfo
- Phone
- (785) 272-1535
Facilities with the same owner 10
Practitioners 2
-
Mark W. Shen, D.O.
-
Shahbaz A. Riaz, MD
Affiliated clinicians 3
-
Melissa Anne Pickett, ACNS-BC
-
Mark W. Shen, D.O.
-
Shahbaz A. Riaz, MD
Medicare Care Compare: Nursing home
- Listed as
- Arrowhead Senior Living Community
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 12, 2019
- Medicare certification status
- Active
- Certified beds
- 80 · 44.9 residents per day on average
- Chain
- Midwest Health
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2157878 | Arrowhead Senior Living Community | Certificate of waiver | Nov 14, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265876
- Legal name
- ARROWHEAD RETIREMENT OPERATIONS LLC
- Doing business as
- ARROWHEAD SENIOR LIVING COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 12, 2019
- Last certification
- Oct 10, 2024
- Beds
- 80
- Ownership / control type
- Corporation
- Multi-facility organization
- MIDWEST HEALTH LLC
- Organization structure
- LLC · Proprietary
- Enrollment address
- 6100 Arrowhead Dr
Osage Beach, MO 65065-2754 - Nursing home name
- ARROWHEAD SENIOR LIVING COMMUNITY
- Affiliated entity
- MIDWEST HEALTH
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Arrowhead Retirement Operations LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 100% |
| Operational/Managerial Control | Nov 19, 2024 | ||
| Adp of the SNF | Dec 11, 2024 | ||
| Jeffrey Basler |
Operational/Managerial Control | Sep 1, 2017 | |
| Adp of the SNF | Jun 18, 2025 | ||
| James Brett Klausman Trust 2012 |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Adp of the SNF | Dec 11, 2024 | ||
| James a Klausman |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Operational/Managerial Control | Nov 19, 2024 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.5% | |
| Floyd C Eaton III Trust 2012 |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Adp of the SNF | Dec 11, 2024 | ||
| Midwest Health, Inc. 06122001 |
Operational/Managerial Control | Dec 11, 2024 | |
| Adp of the SNF | Dec 11, 2024 | ||
| Floyd Eaton |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Operational/Managerial Control | Nov 19, 2024 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.5% | |
| Jamie N Eaton Trust 2012 |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Adp of the SNF | Dec 11, 2024 | ||
| Michael Graham Klausman Trust 2012 |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | |
| Adp of the SNF | Dec 11, 2024 | ||
| Klaton Enterprises, LLC |
5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 100% |
| Adp of the SNF | Dec 11, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102002989 | MO | Part a Provider - Skilled Nursing Facility | 2062757511 | Practice locations: Osage Beach, MO |
National Provider Directory
Locations
6100 Arrowhead Dr
Osage Beach, MO 65065
Phone (573) 302-7111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
6100 Arrowhead Drive
Osage Beach, MO 65065
Mailing address
3024 SW Wanamaker Rd Ste 300
Topeka, KS 66614-4498
Phone (785) 272-1535
Other names
- Arrowhead Retirement Community
- Arrowhead Senior Living Community
Other providers in Osage Beach, MO
- Melissa L Andersen
- Tara Nicole Andersen
- Julia G Ansari
- Lane Armstrong
- Bonnie Jean Arntz
- Lindsey Ann Axthelm
- Mary Kay Bader
- Colin Ernest Bailey
- Tiffany Barber
- Denise D Barnes
All providers in Osage Beach, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. 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.