OrganizationActive
Beacon Ridge Snf Operations LLC
NPI 1417675471 · Skilled Nursing Facility · Sapulpa, OK
Provider details
- NPI number
- 1417675471
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Ganz, Manager(832) 422-8848
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
102 E Line Ave
Sapulpa, OK 74066-2858
Phone: (918) 216-1811
Fax: (918) 514-6709
Approximate (ZIP-level) locationGet directions
Mailing address
102 E Line Ave
Sapulpa, OK 74066-2858
Other names (DBA / former)
- Doing business as
- Beacon Ridge
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.