N& R of Ponca City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH3606-3606 Issued in OK

Legal business name

N& R OF PONCA CITY LLC

Doing business as

Ponca City Nursing and Rehab

Practice address

1400 N Waverly St
Ponca City, OK 74601-2134

Phone

(580) 762-6668

Fax

(580) 762-2669

NPI assigned

Jul 15, 2005

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay H Trumbo

Title

Cfo

Phone

(502) 254-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ponca City Nursing and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003815796. Details of each certification follow.

• CCN 375439 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375439

Legal name

N& R OF PONCA CITY LLC

Doing business as

PONCA CITY NURSING AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 14, 2003

Last certification

Aug 1, 2024

Beds

157

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Health Systems of Oklahoma

Organization structure

LLCProprietary

Enrollment address

1400 North Waverly Street
Ponca City Nursing and Rehab
Ponca City, OK 74601-2134

Nursing home name

PONCA CITY NURSING & REHABILITATION CENTER

Listed as

Ponca City Nursing & Rehabilitation CenterCCN 375439 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 14, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15779.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• N & R Shawnee LLC

  dba Shawnee Colonial Estates Nursing Home

  • Skilled Nursing Facility
  • Shawnee, OK
  • NPI 1508869033

  Health Systems of Oklahoma, LLC

  CMS ownership
• N&R of Chickasha, LLC

  dba Shanoan Springs Residence

  • Skilled Nursing Facility
  • Chickasha, OK
  • NPI 1962780635

  Health Systems of Oklahoma, LLC

  CMS ownership
• N&R of Westhaven L L C

  dba Westhaven Nursing Home

  • Skilled Nursing Facility
  • Stillwater, OK
  • NPI 1912906694

  Health Systems of Oklahoma, LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Rother Allen, DO

  • Internal Medicine Physician
  • Ponca City, OK
  • NPI 1396737888
  NPD (past)
• John W Holden, M.D.

  • Internal Medicine Physician
  • Ponca City, OK
  • NPI 1427034792
  NPD (past)
• Rodger Brannon Spillars, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1679508568
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John W Holden, M.D.

  • Internal Medicine Physician
  • Ponca City, OK
  • NPI 1427034792

  Nursing home

  Care Compare affiliation
• Rodger Brannon Spillars, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1679508568

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1003815796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 TOWNEPARK CIR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432348",
            "telephone_number": "502-254-9525",
            "fax_number": "502-254-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WAVERLY ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012134",
            "telephone_number": "580-762-6668",
            "fax_number": "580-762-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N& R OF PONCA CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TRUMBO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-9525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH3606-3606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100849730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponca City Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayti Moxley, APRN-CNP
• Cashlyn Munroe
• Lauren Emery Murray-Heuston
• Mary Janelle Murray
• Brandy Michelle Musgrove
• Carson Louis Nail, D.M.D.
• Laura Megan Nelson
• Nes Oklahoma, Inc.
• Deborah L Newsome, MS, LPC
• Molly Minh Nguyen

• Skilled Nursing Facility in Ponca City, OK
• Providers in Ponca City, 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 Aug 27, 2025; 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.