NPIMap

Organization Active NPI

Cross Timbers SNF Operations LLC

  • Skilled Nursing Facility
  • Midwest City, OK
National Provider Identifier
1386362093
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROSS TIMBERS SNF OPERATIONS LLC
Doing business as
Cross Timbers Nursing and Rehabilitation
Practice address
1400 Buena Vista Ave
Midwest City, OK 73110-2604
Phone
(405) 251-9988
Fax
(405) 458-8050
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Ganz
Title
Manager
Phone
(832) 422-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1400 Buena Vista Ave
Midwest City, OK 73110-2604

Mailing address

1400 Buena Vista Ave
Midwest City, OK 73110-2604
Phone (405) 251-9988

Other names 1

  • Cross Timbers Nursing and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213001383 OK Part A Provider - Skilled Nursing Facility 5496127896 Practice locations: Midwest City, OK

Skilled nursing facility certification: CCN 375573

Legal name
CROSS TIMBERS SNF OPERATIONS LLC
Doing business as
CROSS TIMBERS NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 15, 2018
Last certification
Feb 26, 2025
Beds
187
Ownership / control type
Corporation
Multi-facility organization
skyblue healthcare
Most recent change of ownership
Jan 6, 2023
Organization structure
LLCProprietary
Incorporated
Mar 15, 2022 in OK
Enrollment address
1400 Buena Vista Ave
Midwest City, OK 73110-2604
Nursing home name
CROSS TIMBERS NURSING AND REHABILITATION
Affiliated entity
SKYBLUE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cross Timbers Nursing and RehabilitationCCN 375573 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 15, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
18758.2 residents per day on average
Chain
Skyblue Healthcare12 facilities in the chain
Penalties (3 years)
4Fines totaling $126,808

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avrohom Kravetz Individual 5% Or Greater Indirect Ownership InterestMember Jan 6, 2023 10%
Chrishuna Rena Vasser Individual W-2 Managing EmployeeAd; Aug 7, 2023 100%
David M Ganz Individual 5% Or Greater Indirect Ownership InterestMember Jan 6, 2023 40%
Corporate OfficerBusiness Manager/Officer Oct 1, 2023
Operational/Managerial ControlLLC Manager Oct 1, 2023
Yitzchok Oelbaum Individual 5% Or Greater Indirect Ownership InterestMember Jan 6, 2023 15%
Operational/Managerial ControlLLC Manager Jan 6, 2023
Rivers Edge Operations LLC Organization, Brick, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 6, 2023 100%
Rivers Edge Partners LLC Organization, Brick, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2023 50%
S. Aryeh Retter Individual 5% Or Greater Indirect Ownership InterestMember Jan 6, 2023 35%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1386362093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BUENA VISTA AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102604",
            "telephone_number": "405-251-9988",
            "fax_number": "405-458-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUENA VISTA AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102604",
            "telephone_number": "405-251-9988",
            "fax_number": "405-458-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TIMBERS SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-422-8848"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Timbers Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.