Organization Active NPI

SNH Opco, LLC

  • Skilled Nursing Facility
  • Stilwell, OK
National Provider Identifier
1821745522
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 3, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabCCN 375333
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12086.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
Snow Family Trust Dated June 29, 2012 Organization, Owasso, OK 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 Organization, Jay, OK 5% Or Greater Direct Ownership Interest Feb 1, 2022 25%
Adp of the SNF Feb 1, 2022
Larry L Snow Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 12.5%
Corporate OfficerChief Executive Officer Feb 1, 2022
Adp of the SNF Feb 1, 2022
Jonathan Rhodes Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 25%
Adp of the SNF Feb 1, 2022
Matrix Provider Solutions LLC Organization, Tulsa, OK LLC Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 14, 2025
Paul Gilbert Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Bridgette Young Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 12.5%
Adp of the SNF Feb 1, 2022
Arthur W Pearson Individual Adp of the SNF Nov 21, 2022
Bedlam Properties Ho LLC Organization, Tulsa, OK LLC Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 14, 2025
Grant Rhodes Revocable Trust Dated January 30, 2018 Organization, Sallisaw, OK 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 Organization, Grove, OK 5% Or Greater Direct Ownership Interest Feb 1, 2022 25%
Adp of the SNF Feb 1, 2022
Jeffrey W Young Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 12.5%
Adp of the SNF Feb 1, 2022
Jack Byers Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 25%
Adp of the SNF Feb 1, 2022
Audrey Snow Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 12.5%
Adp of the SNF Feb 1, 2022
Mark a Lietzke Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

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

Verify at the official NPI Registry.