Gregston Nursing Home Inc
Organization Active NPI Skilled Nursing Facility · Marlow, OK
NPI 1366478786 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1366478786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH69036903 (OK)
- Legal business name
- GREGSTON NURSING HOME INC
- Practice address
- 711 S Broadway St
Marlow, OK 73055-3313 - Phone
- (580) 658-2319
- Fax
- (580) 658-6943
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeff Gregston
- Title
- Administrator
- Phone
- (580) 658-2319
Owners & managing parties with NPI records 1
-
Mathew J Ivory, M.D.
Practitioners 2
-
Mathew J Ivory, M.D.
-
Miguel Ray Sabedra, M.D.
Affiliated clinicians 3
-
Mathew J Ivory, M.D.
-
Miguel Ray Sabedra, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Gregston Nursing Home, Inc.
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 2003
- Medicare certification status
- Active
- Certified beds
- 96 · 60.8 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375425
- Legal name
- GREGSTON NURSING HOME INC
- Doing business as
- GREGSTON NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 2003
- Last certification
- Mar 7, 2024
- Beds
- 96
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 29, 1960 in OK
- Enrollment address
- 711 South Broadway Street
Marlow, OK 73055-3313 - Nursing home name
- GREGSTON NURSING HOME, INC.
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Jeff Gregston |
5% Or Greater Direct Ownership Interest | Nov 1, 2002 | |
| Adp of the SNF | Nov 1, 2002 | ||
| Matt Ivory |
Adp of the SNF | Apr 9, 2025 | |
| Jillian Gregston |
Operational/Managerial Control | Mar 2, 2022 | |
| Adp of the SNF | Mar 2, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021218000003 | OK | Part a Provider - Skilled Nursing Facility | 4789592858 | Practice locations: Marlow, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH69036903 | OK | |
| Skilled Nursing Facility | 314000000X | NH69036903 | OK | Yes |
Addresses
Primary practice location
711 S Broadway St
Marlow, OK 73055-3313
Mailing address
711 S Broadway St
Marlow, OK 73055-3313
Phone (580) 658-2319
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100773070A | Medicaid | OK |
Other providers in Marlow, OK
- Duncan Regional Hospital, Inc
- Ellis Chiropractic
- Jesse Lee Ellis
- Jeremy Eveland
- Maria Gates
- Jillian Jan Gregston
- Terrence Thaddeus Hampton
- Tony Haynie
- Shaylyn Higginbotham
- A.D. Huffman
All providers in Marlow, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.