Active NPI
PF Lawton SNF Ops, LLC
Doing business as Montevista Rehabilitation and Skilled Care
- Skilled Nursing Facility
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NF 1605
- Legal business name
- PF LAWTON SNF OPS, LLC
- Doing business as
- Montevista Rehabilitation and Skilled Care
- Practice address
- 7604 NW Quanah Parker Trailway
Lawton, OK 73505-1155 - Phone
- (580) 536-2866
- NPI assigned
- Apr 5, 2010
- Last updated
- May 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Chance
- Title
- President & Ceo
- Phone
- (214) 725-2837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NF 1605 | OK | Primary |
Addresses
Primary practice location
7604 NW Quanah Parker Trailway
Lawton, OK 73505-1155
Mailing address
1500 Waters Ridge Dr Ste 200
Lewisville, TX 75057-6056
Phone (214) 725-2837
Other names 1
- Montevista Rehabilitation and Skilled Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211123000618 | OK | Part A Provider - Skilled Nursing Facility | 7618366170 | Practice locations: Lawton, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013232800. Details of each certification follow.
Skilled nursing facility certification: CCN 375540
- Legal name
- PF LAWTON SNF OPS LLC
- Doing business as
- MONTEVISTA REHABILITATION AND SKILLED CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 17, 2010
- Last certification
- Sep 6, 2024
- Beds
- 105
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Stonegate Senior Living
- Most recent change of ownership
- Sep 22, 2021
- Organization structure
- LLC
- Incorporated
- Oct 10, 2019 in TX
- Enrollment address
- 7604 NW Quanah Parker Trailway
Lawton, OK 73505-1155 - Nursing home name
- MONTEVISTA REHABILITATION AND SKILLED CARE
- Affiliated entity
- STONEGATE SENIOR LIVING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Montevista Rehabilitation and Skilled Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 17, 2010
- Medicare certification status
- Active
- Certified beds
- 105
- Chain
- Stonegate Senior Living
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2009533 | Montevista Rehabilitation and Skilled Care | Certificate of waiver | Jul 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
3224 SW 119th St
Ste A
Oklahoma City, OK 73170
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kanwardeep Singh | Adp of the SNF | Feb 1, 2025 | |
| Brooke Ariel Cress | Operational/Managerial Control | Aug 14, 2023 | |
| Adp of the SNF | Aug 14, 2023 | ||
| John P Taylor | Operational/Managerial Control | Sep 22, 2021 | |
| Dorothy Butler | Operational/Managerial Control | Jun 24, 2024 | |
| Adp of the SNF | Jun 24, 2024 | ||
| Lifetime Wellness, LTD. | Adp of the SNF | Sep 23, 2021 | |
| Martus Financial Services, Inc. | Adp of the SNF | Dec 31, 2023 | |
| Rehab Pro LP | Adp of the SNF | Sep 23, 2021 | |
| James M Chance | Operational/Managerial Control | Sep 22, 2021 | |
| Umb Bank National Association | 5% Or Greater Mortgage Interest | Sep 23, 2021 | 100% |
| Sanctuary LTC, LLC | 5% Or Greater Direct Ownership Interest | Oct 10, 2019 | 100% |
| Adp of the SNF | Sep 23, 2021 | ||
| PF Lawton SNF Ops LLC | 5% Or Greater Direct Ownership Interest | Sep 22, 2021 | 100% |
| Operational/Managerial Control | Sep 22, 2021 | ||
| Stonegate Senior Living, LP | Operational/Managerial Control | Jun 22, 2022 | |
| Adp of the SNF | Nov 19, 2025 | ||
| Pharmerica Drug Systems LLC | Adp of the SNF | Aug 29, 2017 | |
| Preservation Freehold Company | 5% Or Greater Indirect Ownership Interest | Oct 10, 2019 | 100% |
| Adp of the SNF | Sep 23, 2021 |
Owners & managing parties with NPI records 17
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Pharmerica
- Long Term Care Pharmacy
- Colorado Springs, CO
- NPI 1023041696
Adp of the SNF
-
dba PharMerica
- Long Term Care Pharmacy
- Vinton, VA
- NPI 1033139944
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Riverside, CA
- NPI 1033142609
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Cypress, CA
- NPI 1114950789
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Hanover Township, PA
- NPI 1184657769
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Saint Rose, LA
- NPI 1376576942
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Grand Rapids, MI
- NPI 1376576959
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Glasgow, KY
- NPI 1467485037
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- San Diego, CA
- NPI 1588697155
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Lubbock, TX
- NPI 1619900297
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Horsham, PA
- NPI 1710910393
Adp of the SNF
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Accel at Crystal Park
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1689029266
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Garland Road Nursing & Rehab Center
- Skilled Nursing Facility
- Enid, OK
- NPI 1548385206
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Highland Park Health Care
- Skilled Nursing Facility
- Okmulgee, OK
- NPI 1891765145
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Meadowlake Estates
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1801866074
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Medical Park West Rehabilitation and Skilled Care
- Skilled Nursing Facility
- Norman, OK
- NPI 1184909020
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Noble Health Care Center
- Skilled Nursing Facility
- Noble, OK
- NPI 1881674893
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Ranchwood Nursing Center
- Skilled Nursing Facility
- Yukon, OK
- NPI 1477533487
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba The Villages at Southern Hills
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1669777892
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Tulsa Nursing Center
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1578741492
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Tuscany Village Nursing Center
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1902030570
Preservation Freehold Company, Sanctuary LTC, LLC, Stonegate Senior Living, LP
-
dba Williamsburg Village Healthcare Campus
- Skilled Nursing Facility
- Desoto, TX
- NPI 1629062369
Stonegate Senior Living, LP
-
dba Heritage Plaza Nursing Center
- Skilled Nursing Facility
- Texarkana, TX
- NPI 1134113947
Stonegate Senior Living, LP
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Lawton, OK
- NPI 1164869509
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1841679701
-
- Family Medicine Physician
- Lawton, OK
- NPI 1477713378
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1013232800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WATERS RIDGE DR STE 200",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576056",
"telephone_number": "214-725-2837",
"fax_number": "469-312-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7604 NW QUANAH PARKER TRAILWAY",
"city": "LAWTON",
"state": "OK",
"postal_code": "735051155",
"telephone_number": "580-536-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PF LAWTON SNF OPS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-05",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A",
"authorized_official_last_name": "CHANCE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "214-725-2837"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NF 1605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montevista Rehabilitation and Skilled Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Montevista Rehabilitation and Skilled Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.