Organization Active NPI

Franciscan Villa SNF Operations LLC

  • Skilled Nursing Facility
  • Broken Arrow, OK
National Provider Identifier
1043007263
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 14, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 VillaCCN 375525
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11095.8 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Rivers Edge Partners II LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2025 50%
Avrohom Kravetz Individual Indirect Ownership Interest Jun 1, 2025 10%
David M Ganz Individual 5% Or Greater Indirect Ownership InterestBusiness Manager/Officer Jun 1, 2025 40%
Operational/Managerial Control Jun 1, 2025
Managing Control - Governing BodyBusiness Manager/Officer Jun 1, 2025
Adp of the SNF Jun 1, 2025
Rivers Edge Operations III LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Jun 1, 2025 100%
Individual Adp of the SNF Jun 1, 2025
Organization, Brick, NJ LLC, For-profit Adp of the SNF Jan 26, 2026
Yaacov Hanover Individual Adp of the SNF Jun 1, 2025
Indirect Ownership Interest Jun 1, 2025 15%
Ruben Bearer Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Joseph M Moore Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Skyblue Healthcare Management LLC Organization, Houston, TX LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jan 26, 2026
Franciscan Villa SNF Realty LLC Organization, Brick, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jun 1, 2025 100%
Adp of the SNF Jun 1, 2025
S. Aryeh Retter Individual 5% Or Greater Indirect Ownership InterestBusiness Manager Jun 1, 2025 35%
Operational/Managerial Control Jun 1, 2025
Managing Control - Governing BodyBusiness Manager Jun 1, 2025
Adp of the SNF Jun 1, 2025
Organization, Cleveland, OH LLC, For-profit Adp of the SNF Jan 26, 2026
Rivers Edge Property Holdings III LLC Organization, Brick, NJ LLC, Holding company, For-profit 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.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.