NPIMap

Organization Active NPI

PF Southern Hills SNF Ops, LLC

Doing business as The Villages at Southern Hills

  • Skilled Nursing Facility
  • Tulsa, OK
National Provider Identifier
1669777892
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
CC7207-7207 Issued in OK
Legal business name
PF SOUTHERN HILLS SNF OPS, LLC
Doing business as
The Villages at Southern Hills
Practice address
5721 S Lewis Ave
Tulsa, OK 74105-7129
Phone
(918) 447-6447
Fax
(918) 447-9661
NPI assigned
Jan 19, 2011
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CC7207-7207 OK
Nursing Facility/Intermediate Care Facility 313M00000X CC7207-7207 OK
Skilled Nursing Facility 314000000X CC7207-7207 OK Primary

Addresses

Primary practice location

5721 S Lewis Ave
Tulsa, OK 74105-7129

Mailing address

1500 Waters Ridge Dr Ste 200
Lewisville, TX 75057-6056
Phone (972) 899-4126

Other names 1

  • The Villages at Southern Hills Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220531002385 OK Part A Provider - Skilled Nursing Facility 5698153815 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669777892. Details of each certification follow.

Skilled nursing facility certification: CCN 375546

Legal name
PF SOUTHERN HILLS SNF OPS, LLC
Doing business as
THE VILLAGES AT SOUTHERN HILLS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 23, 2011
Last certification
Jan 15, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 22, 2021
Organization structure
LLCProprietary
Incorporated
Oct 10, 2019 in TX
Enrollment address
5721 S Lewis Ave
Tulsa, OK 74105-7129
Nursing home name
THE VILLAGES AT SOUTHERN HILLS
Affiliated entity
STONEGATE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Villages at Southern HillsCCN 375546 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 23, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120108.5 residents per day on average
Chain
Stonegate Senior Living24 facilities in the chain

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
37D2025252Villages at Southern Hills, the5721 S Lewis Ave, Tulsa, OK 74105Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Chandini Sharma Individual Adp of the SNF Aug 26, 2015
John P Taylor Individual Operational/Managerial ControlDelegated Official Sep 22, 2021
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
PF Southern Hills SNF Ops, LLC Organization, Tulsa, OK LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 22, 2021 100%
Operational/Managerial Control Sep 22, 2021
James M Chance Individual Operational/Managerial Control Sep 22, 2021
Danae Nicole Veloquio Individual Adp of the SNF Jan 11, 2016
Umb Bank National Association Organization, Dallas, TX Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 23, 2021 100%
Farshid Adam Amir Zandi Individual Adp of the SNF Apr 1, 2011
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
Lee Sudbeck Individual Operational/Managerial Control Oct 23, 2012
Adp of the SNF Oct 23, 2012
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, For-profit 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 18

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

View all 18

Facilities with the same owner 24

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

  • PF Crystal Park SNF Ops, LLC

    dba Accel at Crystal Park

    • Skilled Nursing Facility
    • Oklahoma City, OK
    • NPI 1689029266

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF Garland SNF Ops, LLC

    dba Garland Road Nursing & Rehab Center

    • Skilled Nursing Facility
    • Enid, OK
    • NPI 1548385206

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF HPM SNF Ops, LLC

    dba Highland Park Health Care

    • Skilled Nursing Facility
    • Okmulgee, OK
    • NPI 1891765145

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF Lawton SNF Ops, LLC

    dba Montevista Rehabilitation and Skilled Care

    • Skilled Nursing Facility
    • Lawton, OK
    • NPI 1013232800

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF Mle SNF Ops, LLC

    dba Meadowlake Estates

    • Skilled Nursing Facility
    • Oklahoma City, OK
    • NPI 1801866074

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF MPW SNF Ops, LLC

    dba Medical Park West Rehabilitation and Skilled Care

    • Skilled Nursing Facility
    • Norman, OK
    • NPI 1184909020

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF NHCC SNF Ops, LLC

    dba Noble Health Care Center

    • Skilled Nursing Facility
    • Noble, OK
    • NPI 1881674893

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF South Yukon SNF Ops, LLC

    dba Ranchwood Nursing Center

    • Skilled Nursing Facility
    • Yukon, OK
    • NPI 1477533487

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF TNC SNF Ops, LLC

    dba Tulsa Nursing Center

    • Skilled Nursing Facility
    • Tulsa, OK
    • NPI 1578741492

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • PF Tuscany SNF Ops, LLC

    dba Tuscany Village Nursing Center

    • Skilled Nursing Facility
    • Oklahoma City, OK
    • NPI 1902030570

    Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP

    CMS ownership
  • Dallas County Hospital District

    dba Williamsburg Village Healthcare Campus

    • Skilled Nursing Facility
    • Desoto, TX
    • NPI 1629062369

    Stonegate Senior Living, LP

    CMS ownership
  • Fannin County Hospital Authority

    dba Heritage Plaza Nursing Center

    • Skilled Nursing Facility
    • Texarkana, TX
    • NPI 1134113947

    Stonegate Senior Living, LP

    CMS ownership
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": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1669777892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576056",
            "telephone_number": "972-899-4126",
            "fax_number": "469-312-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057129",
            "telephone_number": "918-447-6447",
            "fax_number": "918-447-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF SOUTHERN HILLS SNF OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-725-2837"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "CC7207-7207",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "CC7207-7207",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC7207-7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages at Southern Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.