Active NPI
Franciscan Villa SNF Operations LLC
- Skilled Nursing Facility
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FRANCISCAN VILLA SNF OPERATIONS LLC
- Practice address
- 17110 E 51St St
Broken Arrow, OK 74012-9279 - Phone
- (918) 355-1596
- NPI assigned
- Apr 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ganz
- Title
- LLC Manager
- Phone
- (832) 422-8848
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
17110 E 51St St
Broken Arrow, OK 74012-9279
Mailing address
17110 E 51St St
Broken Arrow, OK 74012-9279
Phone (918) 355-1596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260210000471 | OK | Part A Provider - Skilled Nursing Facility | 5799264818 | Practice locations: Broken Arrow, OK |
Skilled nursing facility certification: CCN 375525
- Legal name
- FRANCISCAN VILLA SNF OPERATIONS LLC
- Doing business as
- FRANCISCAN VILLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 1, 2008
- Last certification
- Dec 23, 2024
- Beds
- 110
- Ownership / control type
- Individual
- Organization structure
- LLC
- Enrollment address
- 17110 E 51St St
Broken Arrow, OK 74012-9279 - Nursing home name
- FRANCISCAN VILLA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Franciscan Villa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 2008
- Medicare certification status
- Active
- Certified beds
- 110
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rivers Edge Partners II LLC | Indirect Ownership Interest | Jun 1, 2025 | 50% |
| Avrohom Kravetz | Indirect Ownership Interest | Jun 1, 2025 | 10% |
| David M Ganz | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 40% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Rivers Edge Operations III LLC | Direct Ownership Interest | Jun 1, 2025 | 100% |
| Adp of the SNF | Jun 1, 2025 | ||
| Adp of the SNF | Jan 26, 2026 | ||
| Yaacov Hanover | Adp of the SNF | Jun 1, 2025 | |
| Indirect Ownership Interest | Jun 1, 2025 | 15% | |
| Ruben Bearer | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Joseph M Moore | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Skyblue Healthcare Management LLC | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jan 26, 2026 | ||
| Franciscan Villa SNF Realty LLC | 5% Or Greater Mortgage Interest | Jun 1, 2025 | 100% |
| Adp of the SNF | Jun 1, 2025 | ||
| S. Aryeh Retter | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 35% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Adp of the SNF | Jan 26, 2026 | ||
| Rivers Edge Property Holdings III LLC | Adp of the SNF | Jun 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1104853142
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1568259851
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1013704238
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1376330597
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Warr Acres, OK
- NPI 1093502213
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1356138572
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Plainview, TX
- NPI 1285762286
Skyblue Healthcare Management LLC
-
- Skilled Nursing Facility
- Lubbock, TX
- NPI 1992902498
Skyblue Healthcare Management LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1104853142
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1043007263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17110 E 51ST ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129279",
"telephone_number": "918-355-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17110 E 51ST ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129279",
"telephone_number": "918-355-1596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN VILLA SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-22",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "GANZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "LLC MANAGER",
"authorized_official_telephone_number": "832-422-8848"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.