Pf South Yukon Snf Ops, LLC
Skilled Nursing Facility in Yukon, OK. Organization (NPI-2).
NPI number1477533487
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1477533487
- Entity type
- Organization (NPI-2)
- Legal business name
- Pf South Yukon Snf Ops, LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2006
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NH5604-5604 | OK | Yes |
Other names
- Ranchwood Nursing Center (Doing Business As)
Practice location
824 S Yukon PkwyYukon, OK 73099-4584
Phone 405-354-2022 · Fax 405-354-8461
Mailing address
1500 Waters Ridge DrLewisville, TX 75057-6011
Phone 972-899-4401 · Fax 972-899-4806
Authorized official
James M Chance
Authorized Officer
2147252837
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