Healthcare Provider Details

I. General information

NPI: 1982172342
Provider Name (Legal Business Name): ARROWHEAD RETIREMENT OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 ARROWHEAD DRIVE
OSAGE BEACH MO
65065
US

IV. Provider business mailing address

3024 SW WANAMAKER RD STE 300
TOPEKA KS
66614-4498
US

V. Phone/Fax

Practice location:
  • Phone: 573-302-7111
  • Fax:
Mailing address:
  • Phone: 785-272-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. MICHAEL D TRYON
Title or Position: CFO
Credential: CPA
Phone: 785-272-1535