NPIMap

Organization Active NPI

Gregston Nursing Home Inc

  • Skilled Nursing Facility
  • Marlow, OK
National Provider Identifier
1366478786
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH69036903 Issued in 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
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Mr. Jeff Gregston
Title
Administrator
Phone
(580) 658-2319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH69036903 OK
Skilled Nursing Facility 314000000X NH69036903 OK Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021218000003 OK Part A Provider - Skilled Nursing Facility 4789592858 Practice locations: Marlow, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366478786. Details of each certification follow.

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
CorporationProprietary
Incorporated
Nov 29, 1960 in OK
Enrollment address
711 South Broadway Street
Marlow, OK 73055-3313
Nursing home name
GREGSTON NURSING HOME, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gregston Nursing Home, Inc.CCN 375425 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9660.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Jeff Gregston Individual 5% Or Greater Direct Ownership Interest Nov 1, 2002
Adp of the SNF Nov 1, 2002
Matt Ivory Individual Adp of the SNF Apr 9, 2025
Jillian Gregston Individual Operational/Managerial Control Mar 2, 2022
Adp of the SNF Mar 2, 2022

Owners & managing parties with NPI records 1

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

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 3

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1366478786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S BROADWAY ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730553313",
            "telephone_number": "580-658-2319",
            "fax_number": "580-658-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S BROADWAY ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730553313",
            "telephone_number": "580-658-2319",
            "fax_number": "580-658-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGSTON NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "GREGSTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-658-2319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH69036903",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH69036903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlow, OK

Sources for this page

Verify at the official NPI Registry.