NPIMap

Organization Active NPI

Capitol Hill Nursing Center, LLC

Doing business as Capital Hill Skilled Nursing and Therapy

  • Skilled Nursing Facility
  • Oklahoma City, OK
National Provider Identifier
1306941174
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH5538-5538 Issued in OK
Legal business name
CAPITOL HILL NURSING CENTER, LLC
Doing business as
Capital Hill Skilled Nursing and Therapy
Grace Living Center - Southwest Okc
Practice address
2400 SW 55TH St
Oklahoma City, OK 73119-6604
Phone
(405) 681-5381
Fax
(405) 681-3806
NPI assigned
Sep 14, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Kristy Deroin
Title
Director of Reimbursement
Phone
(405) 943-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH5538-5538 OK Primary

Addresses

Primary practice location

2400 SW 55TH St
Oklahoma City, OK 73119-6604

Mailing address

2400 SW 55TH St
Oklahoma City, OK 73119-6604
Phone (405) 681-5381

Other identifiers 1

IdentifierTypeStateIssuer
100774730AMedicaidOK

Other names 2

  • Capital Hill Skilled Nursing and Therapy Doing business as
  • GRACE LIVING CENTER - SOUTHWEST OKC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827001885 OK Part A Provider - Skilled Nursing Facility 0042129215 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306941174. Details of each certification follow.

Skilled nursing facility certification: CCN 375151

Legal name
CAPITOL HILL NURSING CENTER, LLC
Doing business as
CAPITOL HILL SKILLED NURSING AND THERAPY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1994
Last certification
Nov 12, 2024
Beds
120
Ownership / control type
Individual
Most recent change of ownership
Apr 1, 2020
Organization structure
LLCProprietary
Enrollment address
2400 SW 55TH St
Oklahoma City, OK 73119-6604
Nursing home name
CAPITOL HILL SKILLED NURSING AND THERAPY
Affiliated entity
BRIDGES HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Capitol Hill Skilled Nursing and TherapyCCN 375151 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12070.9 residents per day on average
Chain
Bridges Health33 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
37D0471364Capitol Hill Skilled Nursing and Therapy2400 SW 55TH, Oklahoma City, OK 73119Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kristy Deroin Individual W-2 Managing Employee Apr 1, 2020
Bridges Esop, Inc Organization, Oklahoma City, OK Corporation 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Operational/Managerial Control Dec 31, 2020 100%
Bridges Employee Stock Ownership Trust Organization, Lisle, IL Created for acquisition 5% Or Greater Indirect Ownership Interest Dec 31, 2020 100%
William Brett Coble Individual Corporate OfficerPresident Apr 1, 2020
Operational/Managerial ControlPresident Apr 1, 2020

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 3

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 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1306941174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 55TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731196604",
            "telephone_number": "405-681-5381",
            "fax_number": "405-681-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SW 55TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731196604",
            "telephone_number": "405-681-5381",
            "fax_number": "405-681-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HILL NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "DEROIN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "405-943-1144"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5538-5538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100774730A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2400 SW 55th St",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731196604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Capital Hill Skilled Nursing and Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRACE LIVING CENTER - SOUTHWEST OKC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRACE LIVING CENTER - SOUTHWEST OKC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.