Choctaw Nation Care Center LLC
Organization Active NPI Skilled Nursing Facility · Antlers, OK
NPI 1023005113 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1023005113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CHOCTAW NATION CARE CENTER LLC
- Practice address
- 400 SW O St
Antlers, OK 74523-3416 - Phone
- (580) 298-5528
- Fax
- (580) 298-2755
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Brandon Morgan
- Title
- President
- Phone
- (918) 235-6443
Owners & managing parties with NPI records 16
Facilities with the same owner 14
Practitioners 3
-
Jack Howard Brown Jr., MD, DPM
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Choctaw Nation Nursing Home
- 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
- Active
- Certified beds
- 72 · 24.9 residents per day on average
- Chain
- BGM Estate
- Penalties (3 years)
- 1 · fines totaling $38,532
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0669951 | Choctaw Nation Nursing Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
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
- LLC · Proprietary
- Enrollment address
- 400 SW O St
Antlers, OK 74523-3416 - Nursing home name
- CHOCTAW NATION NURSING HOME
- Affiliated entity
- BGM ESTATE
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Marcinda Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Connie Greer |
Operational/Managerial Control | Mar 10, 2025 | |
| Adp of the SNF | Nov 26, 2025 | ||
| Robert Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Stein Ancillary Services, LLC |
Adp of the SNF | Oct 22, 2020 | |
| Evelyn Blan |
Operational/Managerial Control | Aug 5, 2021 | |
| Choctaw Nation of Oklahoma |
Adp of the SNF | Feb 1, 2022 | |
| Linda Standridge |
Operational/Managerial Control | Jul 17, 2023 | |
| Brittani Heady |
Operational/Managerial Control | Jun 15, 2024 | |
| Teddy R Rowland |
Operational/Managerial Control | Jan 1, 1995 | |
| Adp of the SNF | Jan 1, 1995 | ||
| Tiffany Seay Exempt TR |
5% Or Greater Direct Ownership Interest | Dec 12, 2025 | 27.34% |
| Gwinda Peteet |
Operational/Managerial Control | Jul 19, 2025 | |
| Jaci Pitts |
Corporate Officer |
Dec 9, 2024 | |
| Mobile Wound Care LLC |
Adp of the SNF | Jan 1, 2025 | |
| Sandra Taylor |
Corporate Officer |
Dec 27, 2020 | |
| NS Group Consulting Division |
Adp of the SNF | Oct 22, 2020 | |
| Miranda Belt |
Corporate Officer |
Dec 9, 2024 | |
| Advanced Wound Therapy |
Adp of the SNF | Nov 1, 2024 | |
| BGM Estate LLC |
5% Or Greater Direct Ownership Interest | Dec 12, 2025 | 50% |
| Forvis Mazars LLP |
Adp of the SNF | Jan 1, 2010 | |
| Pharmcareok of Durant Inc |
Adp of the SNF | Oct 1, 2024 | |
| Kelly Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Angela Tabor |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Philip Marion Green Exempt TR Cu Gilbert F Green TR |
5% Or Greater Direct Ownership Interest | Dec 12, 2025 | 22.66% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210324003385 | OK | Part a Provider - Skilled Nursing Facility | 7315013901 | Practice locations: Antlers, OK |
National Provider Directory
Locations
1505 W Chickasaw Ave
Sallisaw, OK 74955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OK | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699600A | Medicaid | OK |
Other names
- Choctaw Nation Care Center
Other providers in Antlers, OK
- Mechell C Cash
- Gina Champlain
- Candace R Chaney
- Melissa Cherry
- Ashley L Childers
- Choctaw Nation of Oklahoma
- City of Antlers
- Melissa Dawn Clem
- Donna Sue Clouse
- Connie Cody
All providers in Antlers, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.