Organization Active NPI

Conhold of Sand Springs, LLC

Doing business as Sand Springs Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Sand Springs, OK
National Provider Identifier
1710314612
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH7217-7217 Issued in OK
Legal business name
CONHOLD OF SAND SPRINGS, LLC
Doing business as
Sand Springs Nursing and Rehabilitation
Practice address
1025 N Adams Rd
Sand Springs, OK 74063-8110
Phone
(918) 245-5908
Fax
(918) 774-9797
NPI assigned
Oct 9, 2013
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TENANT ONE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Kim Thomas
Title
NA
Phone
(918) 774-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH7217-7217 OK Primary

Addresses

Primary practice location

1025 N Adams Rd
Sand Springs, OK 74063-8110

Mailing address

111 E Chickasaw Ave
Sallisaw, OK 74955-4625
Phone (918) 774-9696

Other names 1

  • Sand Springs Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521000939 OK Part A Provider - Skilled Nursing Facility 8729201777 Practice locations: Sand Springs, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710314612. Details of each certification follow.

Skilled nursing facility certification: CCN 375285

Legal name
CONHOLD OF SAND SPRINGS, LLC
Doing business as
SAND SPRINGS NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1997
Last certification
Jun 21, 2024
Beds
173
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Triacle, LLC
Organization structure
LLCProprietary
Incorporated
Nov 21, 2012 in OK
Enrollment address
1025 North Adams
Sand Springs Nursing and Rehabilitation
Sand Springs, OK 74063-8110
Nursing home name
SAND SPRINGS NURSING AND REHABILITATION
Affiliated entity
CONHOLD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sand Springs Nursing and RehabilitationCCN 375285 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17358.7 residents per day on average
Chain
Conhold5 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

111 E Chickasaw Ave
Sallisaw, OK 74955

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Sullivan Sand Springs TR Organization, Sallisaw, OK Created for acquisition 5% Or Greater Direct Ownership Interest Aug 29, 2013 45%
Armstrong Bank Organization, Muskogee, OK Created for acquisition, For-profit 5% Or Greater Mortgage Interest Aug 29, 2013 92%
Tenant One, LLC Organization, Sallisaw, OK Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Aug 29, 2013 55%
Comprehensive Management Services, Inc Organization, Sallisaw, OK For-profit Operational/Managerial Control Aug 29, 2013 100%
James Frank Sullivan Individual 5% Or Greater Indirect Ownership Interest Aug 29, 2013 100%
Operational/Managerial ControlStatutory LLC Manager of the Pro Aug 29, 2013 100%
OtherThis Individual Is the Owner and Aug 29, 2013 100%
Amy Allred Individual W-2 Managing Employee May 14, 2018

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1710314612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CHICKASAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554625",
            "telephone_number": "918-774-9696",
            "fax_number": "918-774-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N ADAMS RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740638110",
            "telephone_number": "918-245-5908",
            "fax_number": "918-774-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONHOLD OF SAND SPRINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENANT ONE, LLC",
        "enumeration_date": "2013-10-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "NA",
        "authorized_official_telephone_number": "918-774-9696"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7217-7217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Springs Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sand Springs Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.