Active NPI
Mitchell Healthcare Management, LLC
- Skilled Nursing Facility
- McAlester, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MITCHELL HEALTHCARE MANAGEMENT, LLC
- Practice address
- 315 W Electric Ave
McAlester, OK 74501-3600 - Phone
- (918) 423-4661
- NPI assigned
- Jun 12, 2023
- 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
- Naftali Friedman
- Title
- Manager
- Phone
- (314) 631-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
315 W Electric Ave
McAlester, OK 74501-3600
Mailing address
477 N Lindbergh Blvd Ste 310
Saint Louis, MO 63141-7856
Phone (314) 631-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240401000593 | OK | Part A Provider - Skilled Nursing Facility | 8426496118 | Practice locations: McAlester, OK |
Skilled nursing facility certification: CCN 375512
- Legal name
- MITCHELL HEALTHCARE MANAGEMENT, LLC
- Doing business as
- MITCHELL CARE & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 2007
- Last certification
- Mar 27, 2025
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- MGM Healthcare
- Most recent change of ownership
- Jan 9, 2024
- Organization structure
- LLC
- Incorporated
- Jun 1, 2023 in OK
- Enrollment address
- 315 W Electric Ave
McAlester, OK 74501-3600 - Nursing home name
- MITCHELL CARE & REHAB CENTER
- Affiliated entity
- MGM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mitchell Care & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 2007
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- MGM Healthcare
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 |
|---|---|---|---|
| 37D0671345 | Mitchell Care & Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
315 W Gene Stipe Blvd
McAlester, OK 74501
Phone (918) 423-4661
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Elizabeth Gayle Hill | W-2 Managing Employee | Jan 9, 2024 | 100% |
| Allen Koss | Other | Jan 9, 2024 | 50% |
| JFB Ok Trust | 5% Or Greater Indirect Ownership Interest | Jan 9, 2024 | 50% |
| Ok SNF Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jan 9, 2024 | 50% |
| Naftali Friedman | Corporate Officer | Jan 9, 2024 | 100% |
| Ok SNF Investments, LLC | 5% Or Greater Direct Ownership Interest | Jan 9, 2024 | 50% |
| Southeast Ventures Trust | 5% Or Greater Indirect Ownership Interest | Jan 9, 2024 | 48% |
| Yaakov Klein | Other | Jan 9, 2024 | 48% |
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Muskogee, OK
- NPI 1053095968
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- Cleveland, OK
- NPI 1679257596
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- Coweta, OK
- NPI 1730863655
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- Muskogee, OK
- NPI 1639853559
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- Fort Gibson, OK
- NPI 1063196988
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- Bartlesville, OK
- NPI 1831873769
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
-
- Skilled Nursing Facility
- McAlester, OK
- NPI 1619651585
JFB Ok Trust, Ok SNF Holdings, LLC, Ok SNF Investments, LLC, Southeast Ventures Trust
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1518980580
-
- Family Medicine Physician
- Wilburton, OK
- NPI 1588681126
Affiliated clinicians 1
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": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1083398952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N LINDBERGH BLVD STE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417856",
"telephone_number": "314-631-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W ELECTRIC AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745013600",
"telephone_number": "918-423-4661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL HEALTHCARE MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "NAFTALI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "314-631-3000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.