Active NPI
SNH Opco, LLC
- Skilled Nursing Facility
- Stilwell, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SNH OPCO, LLC
- Practice address
- 422 W Locust St
Stilwell, OK 74960-3626 - Phone
- (918) 696-7115
- Fax
- (918) 696-4638
- NPI assigned
- Mar 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry L Snow
- Title
- Ceo
- Phone
- (918) 622-4799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
422 W Locust St
Stilwell, OK 74960-3626
Mailing address
1805 E 15TH St
Tulsa, OK 74104-4610
Phone (918) 622-4799
Other names 1
- Stilwell Nursing and Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524000227 | OK | Part A Provider - Skilled Nursing Facility | 8628455029 | Practice locations: Stilwell, OK |
Skilled nursing facility certification: CCN 375333
- Legal name
- SNH OPCO, LLC
- Doing business as
- STILWELL NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1998
- Last certification
- Apr 9, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Image Strategic Partners
- Most recent change of ownership
- Feb 1, 2022
- Organization structure
- LLC
- Incorporated
- Feb 26, 2021 in OK
- Enrollment address
- 422 West Locust St
Stilwell, OK 74960-3644 - Nursing home name
- STILWELL NURSING AND REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Stilwell Nursing and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1998
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Snow Family Trust Dated June 29, 2012 | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Larry L Snow | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 12.5% |
| Corporate Officer | Feb 1, 2022 | ||
| Adp of the SNF | Feb 1, 2022 | ||
| Jonathan Rhodes | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Matrix Provider Solutions LLC | Operational/Managerial Control | Feb 1, 2022 | |
| Adp of the SNF | Feb 14, 2025 | ||
| Paul Gilbert | Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 | ||
| Bridgette Young | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 12.5% |
| Adp of the SNF | Feb 1, 2022 | ||
| Arthur W Pearson | Adp of the SNF | Nov 21, 2022 | |
| Bedlam Properties Ho LLC | Operational/Managerial Control | Feb 1, 2022 | |
| Adp of the SNF | Feb 14, 2025 | ||
| Grant Rhodes Revocable Trust Dated January 30, 2018 | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Jack L Byers Revocable Trust Dated January 26, 2017 | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Jeffrey W Young | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 12.5% |
| Adp of the SNF | Feb 1, 2022 | ||
| Jack Byers | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Audrey Snow | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 12.5% |
| Adp of the SNF | Feb 1, 2022 | ||
| Mark a Lietzke | Adp of the SNF | Feb 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Broken Bow, OK
- NPI 1760128953
Bedlam Properties Ho LLC, Grant Rhodes Revocable Trust Dated January 30, 2018, Jack L Byers Revocable Trust Dated January 26, 2017, Jeffrey W Young Revocable Trust Dated July 27, 2017, Matrix Provider Solutions LLC, Snow Family Trust Dated June 29, 2
-
- Skilled Nursing Facility
- Blackwell, OK
- NPI 1053300269
Bedlam Properties Ho LLC, Jeffrey W Young Revocable Trust Dated July 27, 2017
-
- Community Based Hospice Care Agency
- Sallisaw, OK
- NPI 1598478034
Matrix Provider Solutions LLC
-
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1396758199
Matrix Provider Solutions LLC
-
- Skilled Nursing Facility
- Poteau, OK
- NPI 1164990008
Bedlam Properties Ho LLC, Jeffrey W Young Revocable Trust Dated July 27, 2017, Matrix Provider Solutions LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Stilwell, OK
- NPI 1265407936
-
- Family Medicine Physician
- Stilwell, OK
- NPI 1417922709
-
- Family Medicine Physician
- Poteau, OK
- NPI 1811331754
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": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1821745522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 E 15TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741044610",
"telephone_number": "918-622-4799",
"fax_number": "866-218-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 W LOCUST ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603626",
"telephone_number": "918-696-7115",
"fax_number": "918-696-4638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNH OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "SNOW",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-622-4799"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stilwell Nursing and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.