Central Oklahoma United Methodist Retirement Facility Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

CC5504 Issued in OK

Legal business name

CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC

Practice address

14901 N Pennsylvania Ave
Oklahoma City, OK 73134

Phone

(405) 752-1200

Fax

(405) 755-5106

NPI assigned

Jun 14, 2005

Organization subpart

Yes

Parent organization

EPWORTH LIVINGAs reported in NPPES

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

Authorized official

Name

Kenneth Lee Bullock

Title

Cfo

Phone

(405) 749-3516

Specialties & licenses 2

Addresses

Other names 1

• Epworth Villa Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375473

Legal name

CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC

Doing business as

EPWORTH VILLA

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jan 24, 2005

Last certification

Oct 3, 2024

Beds

87

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 23, 1986 in OK

Enrollment address

14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069

Nursing home name

EPWORTH VILLA HEALTH SERVICES

Listed as

Epworth Villa Health ServicesCCN 375473

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jan 24, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8787.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 27

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 2

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

• Seki A. Balogun, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
  • NPI 1790816700

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Adp of the SNF

  CMS ownership

Facilities with the same owner 7

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

• A G Rhodes Home Inc

  • Nursing Home Administrator
  • Atlanta, GA
  • NPI 1386648962

  Unidine Corporation

  CMS ownership
• A. G. Rhodes Home Inc. at Wesley Woods

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1821091463

  Unidine Corporation

  CMS ownership
• A. G. Rhodes Home, Cobb Inc.

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1689671679

  Unidine Corporation

  CMS ownership
• Allegheny Christian Ministries, Inc.

  • Skilled Nursing Facility
  • Davidsville, PA
  • NPI 1982679437

  Unidine Corporation

  CMS ownership
• Cornelia Nixon Davis, Inc.

  • Skilled Nursing Facility
  • Wilmington, NC
  • NPI 1841697422

  Unidine Corporation

  CMS ownership
• Keswick Multi Care Center Inc

  • Skilled Nursing Facility
  • Baltimore, MD
  • NPI 1821218066

  Unidine Corporation

  CMS ownership
• Teresian House Nursing Home Co Inc

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1578550653

  Unidine Corporation

  CMS ownership

Affiliated clinicians 6

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

• Seki A. Balogun, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
  • NPI 1790816700

  Nursing home

  Care Compare affiliation
• Emily Jane Cooper, M.D.

  • Family Medicine Physician
  • Enid, OK
  • NPI 1003182650

  Nursing home

  Care Compare affiliation
• Ashley Ford, D.O.

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1366761173

  Nursing home

  Care Compare affiliation
• Rachel Hand, PAC

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1033112347

  Nursing home

  Care Compare affiliation
• Annalou Stasilli

  • Long-Term Care Clinical Nurse Specialist
  • Ardmore, OK
  • NPI 1871351221

  Nursing home

  Care Compare affiliation
• Kathy Thompson, MD

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1366837049

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1114922598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346069",
            "telephone_number": "405-752-1200",
            "fax_number": "405-755-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-752-1200",
            "fax_number": "405-755-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPWORTH LIVING",
        "enumeration_date": "2005-06-14",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-749-3516"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "CC5504",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC5504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epworth Villa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Epworth Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Oklahoma Clinical Associates, PLLC
• Central Oklahoma Durable Medical Supply LLC
• Central Oklahoma Eye Associates, P.C.
• Central Oklahoma Hematology-Oncology Group PLLC
• Central Oklahoma Radiation Oncology PC
• Central PA
• Central PA, LLC
• Central Pulmonary Rehab, LLC
• Centre for Therapy & Wellness Inc
• Samantha Cepeda

• Nursing Facility/Intermediate Care Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.