Organization Active NPI

McAlester Nursing & Rehabilitation LLC

  • Nursing Facility/Intermediate Care Facility
  • McAlester, OK
National Provider Identifier
1265942635
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH6907 Issued in OK
Legal business name
MCALESTER NURSING & REHABILITATION LLC
Doing business as
McAlester Nursing & Rehab
Practice address
615 E Morris Ave
McAlester, OK 74501-3159
Phone
(918) 426-4010
Fax
(918) 426-4820
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Bradford Montgomery
Title
Managing Member
Phone
(479) 715-6759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH6907 OK Primary

Addresses

Primary practice location

615 E Morris Ave
McAlester, OK 74501-3159

Mailing address

9 Professional Dr
Bella Vista, AR 72715-8462
Phone (479) 715-6759

Other names 1

  • McAlester Nursing & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180206000127 OK Part A Provider - Skilled Nursing Facility 6507126877 Practice locations: McAlester, OK

Skilled nursing facility certification: CCN 375487

Legal name
MCALESTER NURSING & REHABILITATION LLC
Doing business as
MCALESTER NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 10, 2005
Last certification
Jul 31, 2024
Beds
63
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Interhealth
Most recent change of ownership
Oct 1, 2017
Organization structure
LLCProprietary
Incorporated
May 8, 2017 in OK
Enrollment address
615 E Morris Ave
McAlester, OK 74501-3159
Nursing home name
MCALESTER NURSING & REHAB
Affiliated entity
BRADFORD MONTGOMERY

Care Compare: Nursing home

Medicare Care Compare
Listed as
McAlester Nursing & RehabCCN 375487 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 10, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6349.4 residents per day on average
Chain
Bradford Montgomery11 facilities in the chain
Penalties (3 years)
2Fines totaling $17,193

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
37D0670962McAlester Nursing & Rehabilitation, LLC615 E Morris Ave, McAlester, OK 74501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Bradford Montgomery Individual 5% Or Greater Direct Ownership InterestAuthorized Offical May 8, 2017 100%
Dana Sandmann Individual W-2 Managing EmployeeAdministrator Oct 1, 2017 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1265942635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158462",
            "telephone_number": "479-715-6759",
            "fax_number": "479-715-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MORRIS AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013159",
            "telephone_number": "918-426-4010",
            "fax_number": "918-426-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER NURSING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McAlester Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.