# PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Ridge Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467512137
- **Authorized official:** MR. MIKE D TRYON (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 4851 HARVARD ROAD, LAWRENCE, KS 66049
- **Practice address phone:** (785) 749-2000
- **Practice address fax:** (785) 344-1199
- **Mailing address:** 3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
- **Mailing address phone:** (785) 228-7913
- **Mailing address fax:** (785) 438-5513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100112080A | KS | — |
| 314000000X | Skilled Nursing Facility | 175445 | KS | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 07/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100112080A | — | KS |