Organization Active NPI

PF South Yukon SNF Ops, LLC

Doing business as Ranchwood Nursing Center

  • Skilled Nursing Facility
  • Yukon, OK
National Provider Identifier
1477533487
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH5604-5604 Issued in OK
Legal business name
PF SOUTH YUKON SNF OPS, LLC
Doing business as
Ranchwood Nursing Center
Practice address
824 S Yukon Pkwy
Yukon, OK 73099-4584
Phone
(405) 354-2022
Fax
(405) 354-8461
NPI assigned
Jan 18, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
James M Chance
Title
Authorized Officer
Phone
(214) 725-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH5604-5604 OK Primary

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 names 1

  • Ranchwood Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211001662 OK Part A Provider - Skilled Nursing Facility 7810309010 Practice locations: Yukon, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477533487. Details of each certification follow.

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
LLCProprietary
Enrollment address
824 S Yukon Pkwy
Yukon, OK 73099-4584
Nursing home name
RANCHWOOD NURSING CENTER
Affiliated entity
STONEGATE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ranchwood Nursing CenterCCN 375229 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
150107.1 residents per day on average
Chain
Stonegate Senior Living24 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $168,835

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0899176Ranchwood Nursing Center824 S Yukon Parkway, Yukon, OK 73099Certificate of waiverMar 21, 2027

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
Natasha Rulyn Normand Individual Adp of the SNF Jun 2, 2025
John P Taylor Individual Operational/Managerial ControlDelegated Official Nov 1, 2020
Lifetime Wellness, LTD. Organization, Tyler, TX Adp of the SNF Sep 23, 2021
Martus Financial Services, Inc. Organization, Justin, TX Corporation, For-profit Adp of the SNF Dec 31, 2023
Rehab Pro LP Organization, Tyler, TX Adp of the SNF Sep 23, 2021
James M Chance Individual Operational/Managerial Control Nov 1, 2020
Umb Bank National Association Organization, Dallas, TX Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 23, 2021 100%
Teney V John Individual Adp of the SNF Aug 1, 2019
Sanctuary LTC, LLC Organization, Lewisville, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 10, 2019 100%
Adp of the SNF Sep 23, 2021
PF South Yukon SNF Ops, LLC Organization, Lewisville, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Operational/Managerial Control Nov 1, 2020
Michael Jacob Russell Individual Operational/Managerial Control Sep 22, 2025
Adp of the SNF Sep 22, 2025
Stonegate Senior Living, LP Organization, Lewisville, TX Operational/Managerial Control Jun 22, 2022
Adp of the SNF Nov 24, 2025
Pharmerica Drug Systems LLC Organization, Louisville, KY LLC Adp of the SNF Aug 29, 2017
Preservation Freehold Company Organization, Lewisville, TX Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 10, 2019 100%
Adp of the SNF Sep 23, 2021

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1477533487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S YUKON PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994584",
            "telephone_number": "405-354-2022",
            "fax_number": "405-354-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF SOUTH YUKON SNF OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "214-725-2837"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5604-5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranchwood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ranchwood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.