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Contact Information

PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
4851 HARVARD ROAD
LAWRENCE, KS66049
 Phone: 785-749-2000
 Fax: 785-344-1199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC

NPI Number 1467512137
LBN Legal business name PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Authorized official MIKE TRYON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 07/18/2018 - About 8 years ago
Identifiers
KS License # 100112080A
KS License # 175445
KS Medicaid 100112080A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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