Montereau Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

CC7204-7204 Issued in OK

Legal business name

MONTEREAU INC

Practice address

6800 S Granite Ave
Tulsa, OK 74136-7039

Phone

(918) 491-5222

NPI assigned

Nov 1, 2005

Last updated

Aug 22, 2020By 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

Mr. Rod Weaver

Title

Director of Accounting

Phone

(918) 491-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194716910. Details of each certification follow.

• CCN 375460 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375460

Legal name

MONTEREAU INC

Doing business as

MONTEREAU

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jul 7, 2004

Last certification

Jul 8, 2024

Beds

74

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 30, 1999 in OK

Enrollment address

6800 S Granite Ave
Tulsa, OK 74136-7039

Nursing home name

MONTEREAU, INC.

Listed as

Montereau, Inc.CCN 375460 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jul 7, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7459.4 residents per day on average

Penalties (3 years)

1Fines totaling $14,901

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 3

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

Affiliated clinicians 5

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

• Michael Lamkee Hubner, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1245265834

  Nursing home

  Care Compare affiliation
• Brandon King, D.O.

  • Family Medicine Physician
  • Gore, OK
  • NPI 1609173038

  Nursing home

  Care Compare affiliation
• Brian Henry Lewis, DO

  • Family Medicine Physician
  • Jenks, OK
  • NPI 1588748339

  Nursing home

  Care Compare affiliation
• Kenneth Daniel Ostmo, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1578026647

  Nursing home

  Care Compare affiliation
• Trang Nguyen, MD

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1790006591

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194716910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 S GRANITE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367039",
            "telephone_number": "918-491-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 S GRANITE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367039",
            "telephone_number": "918-491-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "918-491-5222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC7204-7204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000375460001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Paula Montague, M.D.
• Michael T Montague, PAC
• Michelle Marie Montalbano, M.D.
• Una Yang Montanez, PHARM D
• Felisa Montee
• Gwendolyn Evon Montes, A.R.N.P.
• Juan Francisco Montes
• Jessica Lynn Montesano, D.C.
• Montgomery Care Center
• Christin Montgomery-Lang

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, 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 Aug 22, 2020; 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.