Three Oaks LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1905 1905 Issued in OK

Legal business name

THREE OAKS LLC

Doing business as

Ranch Terrace Nursing Home
Sapulpa Nursing Center

Practice address

1310 E Cleveland Ave
Sapulpa, OK 74066

Phone

(918) 224-5278

NPI assigned

Mar 14, 2016

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Eric Rogers

Title

Manager

Phone

(918) 404-3443

Specialties & licenses 1

Addresses

Other names 2

• Ranch Terrace Nursing Home Doing business as
• SAPULPA NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528429990. Details of each certification follow.

• CCN 375585 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375585

Legal name

THREE OAKS, LLC

Doing business as

SAPULPA NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 18, 2026

Last certification

Mar 18, 2026

Beds

85

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1310 E Cleveland Ave
Sapulpa, OK 74066-4829

Nursing home name

SAPULPA NURSING CENTER

Locations

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 2

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

• Ryan J Reynolds, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1114459278

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
  • NPI 1073591582

  Adp of the SNF

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1528429990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664829",
            "telephone_number": "918-404-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "74066",
            "telephone_number": "918-224-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE OAKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-404-3443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH1905 1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranch Terrace Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAPULPA NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Taylor
• Tara Taylor
• Terri Taylor
• Camille Chere Teale, NMD
• Sandy Terry
• Kristin Tidwell, APRN, FNP-C
• Sara Tillotson
• Donald Robert Titsworth II
• Lindsay Melea Tonelli
• Barbara Torbett, MA, CCC-SLP

• Skilled Nursing Facility in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.