NPIMap

Organization Active NPI

Great Plains Care Center Inc.

Doing business as Cimarron Nursing Center

  • Skilled Nursing Facility
  • Kingfisher, OK
National Provider Identifier
1265429344
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREAT PLAINS CARE CENTER INC.
Doing business as
Cimarron Nursing Center
Practice address
905 Beall Rd
Kingfisher, OK 73750-4800
Phone
(405) 375-6857
Fax
(405) 375-6859
NPI assigned
Oct 4, 2005
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Michael Brandon MorganNPI 1679937981
Title
Ceo
Phone
(479) 769-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

905 Beall Rd
Kingfisher, OK 73750-4800

Mailing address

905 Beall Rd.
Kingfisher, OK 74955
Phone (918) 775-6200

Other identifiers 1

IdentifierTypeStateIssuer
100776790AMedicaidOK

Other names 1

  • Cimarron Nursing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920000617 OK Part A Provider - Skilled Nursing Facility 9032281860 Practice locations: Kingfisher, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265429344. Details of each certification follow.

Skilled nursing facility certification: CCN 375102

Legal name
GREAT PLAINS CARE CENTER, INC.
Doing business as
CIMARRON NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 14, 1989
Last certification
Feb 5, 2025
Beds
92
Ownership / control type
Corporation
Most recent change of ownership
Jun 30, 2017
Organization structure
CorporationProprietary
Incorporated
Apr 6, 1992 in OK
Enrollment address
905 Beall Rd
Kingfisher, OK 73750-4800
Nursing home name
CIMARRON NURSING CENTER
Affiliated entity
BGM ESTATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cimarron Nursing CenterCCN 375102 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 14, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9256.8 residents per day on average
Chain
BGM Estate15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0677082Cimarron Nursing Center905 Beall Road, Kingfisher, OK 73750Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Marcinda Mitchell Individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 9.38%
Adp of the SNF Aug 1, 2019
Robert Mitchell Individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 9.38%
Adp of the SNF Aug 1, 2019
Stein Ancillary Services, LLC Organization, Fort Smith, AR LLC, Consulting firm Adp of the SNF Nov 1, 2015
Faith Boling Individual Operational/Managerial Control Aug 16, 2021
Ashley Trow-Florke Individual Operational/Managerial Control Mar 7, 2025
Tiffany Seay Exempt TR Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 13.67%
Adp of the SNF Dec 12, 2025
Jaci Pitts Individual Corporate OfficerCeo Dec 9, 2024
Mobile Wound Care LLC Organization, Edmond, OK LLC, Consulting firm Adp of the SNF Jan 1, 2025
William Stump Individual Operational/Managerial Control Jun 3, 2025
Sandra Taylor Individual Corporate OfficerDirector of Reimbursement Dec 27, 2020
NS Group Consulting Division Organization, Ridgeland, MS LLC, Consulting firm Adp of the SNF Nov 1, 2024
Miranda Belt Individual Corporate OfficerCfo Dec 9, 2024
Fontella Hampton Individual Operational/Managerial Control May 20, 2020
Advanced Wound Therapy Organization, Tulsa, OK LLC, Consulting firm Adp of the SNF Jan 1, 2025
Angela Gore Individual Operational/Managerial Control Nov 18, 2019
Brandon Stewart Individual Operational/Managerial Control Nov 15, 2021
Adp of the SNF Nov 26, 2025
Philip M. Green Revocable Trust Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 25%
Adp of the SNF Dec 12, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 1, 2010
Pharmcareok of Durant Inc Organization, Hydro, OK Corporation, Consulting firm Adp of the SNF Oct 1, 2024
Ronald Marion Cable Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Kelly Mitchell Individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 21.88%
Adp of the SNF Dec 12, 2025
Teri Hubbard Individual Operational/Managerial Control Jan 5, 2015
Angela Tabor Individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 9.38%
Adp of the SNF Aug 1, 2019
Philip Marion Green Exempt TR Cu Gilbert F Green TR Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 11.33%
Adp of the SNF Dec 12, 2025

Owners & managing parties with NPI records 6

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1265429344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BEALL RD.",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-775-6200",
            "fax_number": "918-775-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BEALL RD",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504800",
            "telephone_number": "405-375-6857",
            "fax_number": "405-375-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-769-5535"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100776790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cimarron Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cimarron Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingfisher, OK

Sources for this page

Verify at the official NPI Registry.