Active NPI
Garden Manor Rehab and Nursing of Tulsa LLC
- Skilled Nursing Facility
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GARDEN MANOR REHAB AND NURSING OF TULSA LLC
- Practice address
- 2425 S Memorial Dr
Tulsa, OK 74129-2617 - Phone
- (918) 628-0932
- Fax
- (918) 622-2060
- NPI assigned
- Feb 9, 2017
- 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 Fleischmann
- Title
- Controller
- Phone
- (516) 314-3236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2425 S Memorial Dr
Tulsa, OK 74129-2617
Mailing address
2425 S Memorial Dr
Tulsa, OK 74129-2617
Phone (918) 628-0932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170404000248 | OK | Part A Provider - Skilled Nursing Facility | 6608152715 | Practice locations: Tulsa, OK |
Skilled nursing facility certification: CCN 375094
- Legal name
- GARDEN MANOR REHAB AND NURSING OF TULSA LLC
- Doing business as
- EMERALD CARE CENTER TULSA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 12, 1989
- Last certification
- Apr 11, 2024
- Beds
- 118
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Emerald Healthcare
- Organization structure
- LLC
- Enrollment address
- 2425 S Memorial
Tulsa, OK 74129-2617 - Nursing home name
- EMERALD CARE CENTER TULSA
- Affiliated entity
- EMERALD HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emerald Care Center Tulsa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 12, 1989
- Medicare certification status
- Active
- Certified beds
- 118
- Chain
- Emerald Healthcare
- Penalties (3 years)
- 8
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Midwest City, OK
- NPI 1538607569
Member Of
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Akiva Tzvi Glatzer | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 18.75% |
| David T Gamzeh | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 18.75% |
| Corporate Officer | Mar 17, 2017 | ||
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 18.75% |
| Jacob I Walden | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 16.88% |
| Yisroel I Chafetz | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 20% |
| Joshua Farkovits | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 18.75% |
| Alphreda Layton | W-2 Managing Employee | Mar 17, 2017 | |
| Bankers Trust Company | 5% Or Greater Security Interest | Mar 17, 2017 | |
| Chickiestrong Tulsa LLC | 5% Or Greater Direct Ownership Interest | Mar 17, 2017 | 5% |
| Melissa Bettis | W-2 Managing Employee | Mar 17, 2017 |
Practitioners & affiliated clinicians
Practitioners 3
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 1730239104
-
- Family Medicine Physician
- Jenks, OK
- NPI 1154394062
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": "1486598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1437697463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741292617",
"telephone_number": "918-628-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741292617",
"telephone_number": "918-628-0932",
"fax_number": "918-622-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN MANOR REHAB AND NURSING OF TULSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-09",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "FLEISCHMANN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "516-314-3236"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 12, 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.