BEACON RIDGE
NPI 1417675471
Skilled Nursing Facility in Sapulpa, OK

Active since August 16, 2022CLIA 37D0671815 · Waiver
102 E LINE AVE, SAPULPA, OK 74066(918) 216-1811(918) 514-6709 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, Aug 16, 2022 (2 updates tracked since 2022).

About Beacon Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON RIDGE (NPI 1417675471) is a healthcare organization registered as a skilled nursing facility in Sapulpa, Oklahoma and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists David Ganz, Manager, as its authorized official.

NPPES Registry Identity

NPI1417675471
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEACON RIDGE SNF OPERATIONS LLC
Location Address102 E LINE AVESapulpa, OK 74066-2858
Mailing Address102 E Line AveSapulpa, OK 74066-2858 · (918) 216-1811 · Fax (918) 514-6709
Fax(918) 514-6709
Organization SubpartNo
Authorized OfficialDavid GanzManager · (832) 422-8848
Enumeration DateAugust 16, 2022
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1417675471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

102 E LINE AVE, Sapulpa, OK 74066

Other Names 1

Doing Business AsBeacon Ridge

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0671815

Beacon Ridge Beacon Snf Operations, LLC · Sapulpa, OK
Active · expires Sep 7, 2027
CLIA Number37D0671815
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorTeresa Field
Laboratory Phone(918) 216-1811
Laboratory LocationBeacon Ridge Beacon Snf Operations, LLC102 E Line Ave, Sapulpa, OK 74066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
102 E LINE AVE
SAPULPA, OK 74066
Skilled Nursing Facility
102 E LINE AVE
SAPULPA, OK 74066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Ridge Snf Operations LLC's NPI number?

The NPI number for Beacon Ridge Snf Operations LLC is 1417675471. It was assigned to this organization in the NPPES registry on August 16, 2022. The provider is doing business as Beacon Ridge.

Where is Beacon Ridge Snf Operations LLC located?

Beacon Ridge Snf Operations LLC is located at 102 E Line Ave, Sapulpa, OK 74066. The listed phone number is (918) 216-1811.

What is Beacon Ridge Snf Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Beacon Ridge Snf Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0671815) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beacon Ridge Snf Operations LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Beacon Ridge Snf Operations LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Ridge Snf Operations LLC was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.