NPIMap

Organization Active NPI

Choctaw Nation Care Center LLC

Doing business as Choctaw Nation Care Center

  • Skilled Nursing Facility
  • Antlers, OK
National Provider Identifier
1023005113
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHOCTAW NATION CARE CENTER LLC
Doing business as
Choctaw Nation Care Center
Practice address
400 SW O St
Antlers, OK 74523-3416
Phone
(580) 298-5528
Fax
(580) 298-2755
NPI assigned
Oct 4, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Michael Brandon Morgan
Title
President
Phone
(918) 235-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OK Primary

Addresses

Primary practice location

400 SW O St
Antlers, OK 74523-3416

Mailing address

400 SW O St
Antlers, OK 74523-3416
Phone (580) 298-5528

Other identifiers 1

IdentifierTypeStateIssuer
100699600AMedicaidOK

Other names 1

  • Choctaw Nation Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324003385 OK Part A Provider - Skilled Nursing Facility 7315013901 Practice locations: Antlers, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023005113. Details of each certification follow.

Skilled nursing facility certification: CCN 375372

Legal name
CHOCTAW NATION CARE CENTER, LLC
Doing business as
CHOCTAW NATION NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 20, 1999
Last certification
Feb 14, 2024
Beds
72
Ownership / control type
Limited Liability Corporation
Multi-facility organization
LTC Accounting Services
Organization structure
LLCProprietary
Enrollment address
400 SW O St
Antlers, OK 74523-3416
Nursing home name
CHOCTAW NATION NURSING HOME
Affiliated entity
BGM ESTATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Choctaw Nation Nursing HomeCCN 375372 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 20, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7224.9 residents per day on average
Chain
BGM Estate15 facilities in the chain
Penalties (3 years)
1Fines totaling $38,532

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0669951Choctaw Nation Nursing Home400 SW O Street, Antlers, OK 74523Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

400 SW O St
Antlers, OK 74523
Phone (580) 298-5528

1505 W Chickasaw Ave
Sallisaw, OK 74955

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Marcinda Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Connie Greer Individual Operational/Managerial Control Mar 10, 2025
Adp of the SNF Nov 26, 2025
Robert Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Stein Ancillary Services, LLC Organization, Fort Smith, AR LLC, Consulting firm Adp of the SNF Oct 22, 2020
Evelyn Blan Individual Operational/Managerial Control Aug 5, 2021
Choctaw Nation of Oklahoma Organization, Durant, OK Adp of the SNF Feb 1, 2022
Linda Standridge Individual Operational/Managerial Control Jul 17, 2023
Brittani Heady Individual Operational/Managerial Control Jun 15, 2024
Teddy R Rowland Individual Operational/Managerial Control Jan 1, 1995
Adp of the SNF Jan 1, 1995
Tiffany Seay Exempt TR Organization, Fort Smith, AR Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 27.34%
Gwinda Peteet Individual Operational/Managerial Control Jul 19, 2025
Jaci Pitts Individual Corporate OfficerCeo Dec 9, 2024
Mobile Wound Care LLC Organization, Edmond, OK LLC, Consulting firm Adp of the SNF Jan 1, 2025
Sandra Taylor Individual Corporate OfficerDirector of Reimbursement Dec 27, 2020
NS Group Consulting Division Organization, Ridgeland, MS LLC, Consulting firm Adp of the SNF Oct 22, 2020
Miranda Belt Individual Corporate OfficerCfo Dec 9, 2024
Advanced Wound Therapy Organization, Tulsa, OK LLC, Consulting firm Adp of the SNF Nov 1, 2024
BGM Estate LLC Organization, Sallisaw, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 50%
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 1, 2010
Pharmcareok of Durant Inc Organization, Hydro, OK Consulting firm Adp of the SNF Oct 1, 2024
Kelly Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Angela Tabor Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Philip Marion Green Exempt TR Cu Gilbert F Green TR Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 22.66%

Owners & managing parties with NPI records 16

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

View all 16

Facilities with the same owner 14

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

View all 14

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.

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1023005113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW O ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233416",
            "telephone_number": "580-298-5528",
            "fax_number": "580-298-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW O ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233416",
            "telephone_number": "580-298-5528",
            "fax_number": "580-298-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW NATION CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-235-6443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Nation Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antlers, OK

Sources for this page

Verify at the official NPI Registry.