Active NPI
Sherwood Health Services LLC
- Nursing Facility/Intermediate Care Facility
- Tulsa, OK
National Provider Identifier
1083014161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- SHERWOOD HEALTH SERVICES LLC
- Practice address
- 2416 W 51St St
Tulsa, OK 74107-7700 - Phone
- (918) 446-4285
- Fax
- (918) 445-8811
- NPI assigned
- Aug 26, 2014
- 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
- Vernie Matthew Holland
- Title
- Managing Member
- Phone
- (918) 446-4285
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
2416 W 51St St
Tulsa, OK 74107-7700
Mailing address
PO Box 760
Gore, OK 74435-0760
Phone (918) 446-4285
Other names 1
- SHERWOOD MANOR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150402000581 | OK | Part A Provider - Skilled Nursing Facility | 8123345055 | Practice locations: Tulsa, OK |
Skilled nursing facility certification: CCN 375556
- Legal name
- SHERWOOD HEALTH SERVICES LLC
- Doing business as
- SHERWOOD MANOR NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 25, 2013
- Last certification
- Sep 6, 2024
- Beds
- 102
- Ownership / control type
- Individual
- Most recent change of ownership
- Sep 3, 2014
- Organization structure
- LLC
- Incorporated
- Mar 21, 2014 in OK
- Enrollment address
- 2416 W 51St St
Tulsa, OK 74107-7700 - Nursing home name
- SHERWOOD MANOR NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sherwood Manor Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Sep 25, 2013
- Medicare certification status
- Active
- Certified beds
- 102
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Ponderosa Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 21, 2014 | 100% |
| Adp of the SNF | Sep 3, 2014 | ||
| Darlene Kindle | Adp of the SNF | Jan 1, 2025 | |
| Vernie Matthew Holland | 5% Or Greater Direct Ownership Interest | Sep 3, 2014 | 50% |
| Operational/Managerial Control | Sep 3, 2014 | ||
| Adp of the SNF | Sep 3, 2014 | ||
| Whitney Holland | 5% Or Greater Direct Ownership Interest | Sep 3, 2014 | 50% |
| Ryan Reynolds | Adp of the SNF | Jun 18, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1982699096
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1114459278
Affiliated clinicians 1
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": "1409011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411430400000",
"number": "1083014161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "GORE",
"state": "OK",
"postal_code": "744350760",
"telephone_number": "918-446-4285",
"fax_number": "918-445-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 W 51ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741077700",
"telephone_number": "918-446-4285",
"fax_number": "918-445-8811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERWOOD HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-26",
"last_updated": "2014-09-23",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "VERNIE",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "918-446-4285"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SHERWOOD MANOR",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.