Organization Active NPI

University Village Retirement Community, LLC

  • Skilled Nursing Facility
  • Tulsa, OK
National Provider Identifier
1740588672
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7231 Issued in OK
Legal business name
UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC
Practice address
8555 S Lewis Ave
Tulsa, OK 74137-1218
Phone
(918) 299-2661
Fax
(918) 298-3270
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Vanessa I Neal
Title
Executive Director
Phone
(918) 299-2661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7214 OK
Skilled Nursing Facility 314000000X 7231 OK Primary

Addresses

Primary practice location

8555 S Lewis Ave
Tulsa, OK 74137-1218

Mailing address

8555 S Lewis Ave
Tulsa, OK 74137-1218
Phone (918) 299-2661

Other identifiers 1

IdentifierTypeStateIssuer
200424210AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000453 OK Part A Provider - Skilled Nursing Facility 7214102953 Practice locations: Tulsa, OK

Skilled nursing facility certification: CCN 375531

Legal name
UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 5, 2009
Last certification
Dec 5, 2024
Beds
80
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 29, 2011
Organization structure
LLCProprietary
Incorporated
Feb 16, 2011 in OK
Enrollment address
8555 S Lewis Ave
Tulsa, OK 74137-1218
Nursing home name
UNIVERSITY VILLAGE RETIREMENT COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
University Village Retirement CommunityCCN 375531
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 5, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8068.7 residents per day on average

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
37D2198780University Village Retirement Community8555 S Lewis Ave, Tulsa, OK 74137Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Thomas C Luiskutty Individual Operational/Managerial Control Oct 3, 2022
Adp of the SNF Oct 3, 2022
Vanessa I Neal Individual Operational/Managerial ControlExecutive Director Jul 29, 2011 20%
Adp of the SNF Jul 29, 2011
Keith a Roberts Individual 5% Or Greater Direct Ownership InterestMember Jul 29, 2011 24%
Corporate OfficerMember Jul 29, 2011 24%
Tammy Brown Individual Operational/Managerial Control Jan 12, 2025
Adp of the SNF Jan 12, 2025
Blake N Fail Individual 5% Or Greater Direct Ownership InterestMember Jul 29, 2011 38%
Corporate OfficerMember Jul 29, 2011 38%
Triad Aspen Partners, LLC Organization, Tulsa, OK Management services company Operational/Managerial Control Aug 1, 2011 80%
Adp of the SNF May 15, 2025
Matthew R Gawey Individual 5% Or Greater Direct Ownership InterestMember Jul 29, 2011 38%
Corporate OfficerMember Jul 29, 2011 38%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1740588672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371218",
            "telephone_number": "918-299-2661",
            "fax_number": "918-298-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371218",
            "telephone_number": "918-299-2661",
            "fax_number": "918-298-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-299-2661"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL7214",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "7231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.