Nowata LTC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NOWATA LTC LLC

Doing business as

El Reno Health Care, LLC
NOWATA NURSING CENTER

Practice address

436 S Joe St
Nowata, OK 74048-3233

Phone

(918) 775-4439

Fax

(918) 775-9242

NPI assigned

Jun 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Lance Guymon

Title

Consultant

Phone

(405) 312-8050

Specialties & licenses 1

Addresses

Other names 2

• El Reno Health Care, LLC Doing business as
• NOWATA NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375354

Legal name

NOWATA LTC LLC

Doing business as

NOWATA NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1998

Last certification

Nov 21, 2024

Beds

65

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

436 S Joe St
Nowata, OK 74048-3233

Nursing home name

NOWATA NURSING CENTER

Affiliated entity

OKLAHOMA NURSING HOMES, LTD.

Listed as

Nowata Nursing CenterCCN 375354 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6532.3 residents per day on average

Chain

Oklahoma Nursing Homes, LTD.7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096

  Adp of the SNF, Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1003659855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554604",
            "telephone_number": "918-775-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S JOE ST",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483233",
            "telephone_number": "918-775-4439",
            "fax_number": "918-775-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWATA LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "GUYMON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "405-312-8050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Reno Health Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOWATA NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morton Comprehensive Health Services, Inc.
• William Thomas Mosher, MS, LPC, LADC
• Skylar R Nance
• Sheryl L Neely, APRN
• Malorie Elizabeth Newell
• Nowata Nursing Center, Inc.
• Nowata Public School
• Robert Nyhof
• Osage Nursing Center, LLC
• Madison R Parrett, DENTAL HYGIENIST

• Skilled Nursing Facility in Nowata, OK
• Providers in Nowata, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.