Madill Operating Co, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MADILL OPERATING CO, LLC

Doing business as

Brookside Nursing Center

Practice address

310 Brookside Dr
Madill, OK 73446-3638

Phone

(580) 795-2100

Fax

(580) 677-9918

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By 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

Tom C. Coble

Title

Manager

Phone

(580) 220-7093

Specialties & licenses 1

Addresses

Other names 1

• Brookside Nursing Center 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 1114590098. Details of each certification follow.

• CCN 375235 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375235

Legal name

MADILL OPERATING CO, LLC

Doing business as

BROOKSIDE NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1995

Last certification

Aug 15, 2024

Beds

140

Ownership / control type

Individual

Most recent change of ownership

Nov 1, 2006

Organization structure

LLCProprietary

Incorporated

Dec 17, 2019 in OK

Enrollment address

310 Brookside Drive
Madill, OK 73446-3638

Nursing home name

BROOKSIDE NURSING CENTER

Affiliated entity

ELMBROOK MANAGEMENT COMPANY

Listed as

Brookside Nursing CenterCCN 375235 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Sep 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14045.5 residents per day on average

Chain

Elmbrook Management Company11 facilities in the chain

Penalties (3 years)

1Fines totaling $31,530

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Ely R Gordon, DO, MPH

  • Internal Medicine Physician
  • Madill, OK
  • NPI 1215992029

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Stephen I Hutchins, M.D.

  • Family Medicine Physician
  • Marietta, OK
  • NPI 1073564597
  NPD (past)
• Clifford David Garvin, M.D.

  • Specialist
  • Denison, TX
  • NPI 1528095502
  NPD (past)

Affiliated clinicians 2

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

• Ely R Gordon, DO, MPH

  • Internal Medicine Physician
  • Madill, OK
  • NPI 1215992029

  Nursing home

  Care Compare affiliation
• Stephen I Hutchins, M.D.

  • Family Medicine Physician
  • Marietta, OK
  • NPI 1073564597

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1114590098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 12TH AVE NW STE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011255",
            "telephone_number": "580-226-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BROOKSIDE DR",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463638",
            "telephone_number": "580-795-2100",
            "fax_number": "580-677-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADILL OPERATING CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-220-7093"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lighthouse Behavioral Wellness Centers
• Looking Up Counseling
• Looking Up Counseling
• Madill Dental Company
• Madill Family Dentistry PLLC (Storts Family Dentistry-Madill)
• Madill Public Schools
• Tanya L Magness, LPC, LADC
• Kayle Malone
• Marshall County Ambulance Service (Marshall County EMS)
• Marshall County Counseling Services

• Skilled Nursing Facility in Madill, OK
• Providers in Madill, 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 Jul 20, 2021; 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.