PF South Yukon SNF Ops, LLC
Organization Active NPI Skilled Nursing Facility · Yukon, OK
NPI 1477533487 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1477533487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH5604-5604 (OK)
- Legal business name
- PF SOUTH YUKON SNF OPS, LLC
- Practice address
- 824 S Yukon Pkwy
Yukon, OK 73099-4584 - Phone
- (405) 354-2022
- Fax
- (405) 354-8461
- NPI assigned
- Jan 18, 2006
- Organization subpart
- No
Authorized official
- Name
- James M Chance
- Title
- Authorized Officer
- Phone
- (214) 725-2837
Owners & managing parties with NPI records 17
-
Teney John, MD
Facilities with the same owner 24
Practitioners 3
-
Drew K Cooper, MD
-
Teney John, MD
Affiliated clinicians 3
-
Drew K Cooper, MD
-
Jeffrey Mani, MD
Medicare Care Compare: Nursing home
- Listed as
- Ranchwood Nursing Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 19, 1995
- Medicare certification status
- Active
- Certified beds
- 150 · 107.1 residents per day on average
- Chain
- Stonegate Senior Living
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2 · fines totaling $168,835
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0899176 | Ranchwood Nursing Center | Certificate of waiver | Mar 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375229
- Legal name
- PF SOUTH YUKON SNF OPS, LLC
- Doing business as
- RANCHWOOD NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 19, 1995
- Last certification
- Sep 10, 2024
- Beds
- 150
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Stonegate Senior Living
- Organization structure
- LLC · Proprietary
- Enrollment address
- 824 S Yukon Pkwy
Yukon, OK 73099-4584 - Nursing home name
- RANCHWOOD NURSING CENTER
- Affiliated entity
- STONEGATE SENIOR LIVING
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Natasha Rulyn Normand |
Adp of the SNF | Jun 2, 2025 | |
| John P Taylor |
Operational/Managerial Control |
Nov 1, 2020 | |
| Lifetime Wellness, LTD. |
Adp of the SNF | Sep 23, 2021 | |
| Martus Financial Services, Inc. |
Adp of the SNF | Dec 31, 2023 | |
| Rehab Pro LP |
Adp of the SNF | Sep 23, 2021 | |
| James M Chance |
Operational/Managerial Control | Nov 1, 2020 | |
| Umb Bank National Association |
5% Or Greater Mortgage Interest | Sep 23, 2021 | 100% |
| Teney V John |
Adp of the SNF | Aug 1, 2019 | |
| Sanctuary LTC, LLC |
5% Or Greater Direct Ownership Interest | Oct 10, 2019 | 100% |
| Adp of the SNF | Sep 23, 2021 | ||
| PF South Yukon SNF Ops, LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2020 | 100% |
| Operational/Managerial Control | Nov 1, 2020 | ||
| Michael Jacob Russell |
Operational/Managerial Control | Sep 22, 2025 | |
| Adp of the SNF | Sep 22, 2025 | ||
| Stonegate Senior Living, LP |
Operational/Managerial Control | Jun 22, 2022 | |
| Adp of the SNF | Nov 24, 2025 | ||
| Pharmerica Drug Systems LLC |
Adp of the SNF | Aug 29, 2017 | |
| Preservation Freehold Company |
5% Or Greater Indirect Ownership Interest | Oct 10, 2019 | 100% |
| Adp of the SNF | Sep 23, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201211001662 | OK | Part a Provider - Skilled Nursing Facility | 7810309010 | Practice locations: Yukon, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH5604-5604 | OK | Yes |
Addresses
Primary practice location
824 S Yukon Pkwy
Yukon, OK 73099-4584
Mailing address
1500 Waters Ridge Dr
Lewisville, TX 75057-6011
Phone (972) 899-4401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200060680A | Medicaid | OK |
Other names
- Ranchwood Nursing Center
Other providers in Yukon, OK
- Keith D Perry
- Perspective Counseling Group, LLC
- Rena Gabriella Gayle Peterman
- Alexis Michelle Pettey
- Karla Jean Petty
- Kaitlyn Pham
- Thu Pham
- Phileo Physical Therapy LLC
- Emily Phillips
- PHP Ok PC
All providers in Yukon, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.