NPI 1235085879 · live from the CMS NPI Registry
5th Street Snf Operations LLC
Skilled Nursing Facility in Ada, OK. National Provider Identifier 1235085879, active.
NPI record
| NPI | 1235085879 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 201 W 5th St, Ada, OK 74820 |
| Practice phone | 580-436-1414 |
| Mailing address | 10913 S River Front Pkwy Ste 290, South Jordan, UT 84095 |
| Enumerated | March 6, 2026 |
| Last updated | March 6, 2026 |
| Authorized official | Brian Ramos, Manager |
| Other names | Ballard Nursing Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.