NPIMap

Organization Active NPI

Stroud Nursing & Rehab LLC

Doing business as Stroud Nursing & Rehab

  • Skilled Nursing Facility
  • Stroud, OK
National Provider Identifier
1396433116
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STROUD NURSING & REHAB LLC
Doing business as
Stroud Nursing & Rehab
Practice address
721 W Olive St
Stroud, OK 74079-4500
Phone
(918) 968-2075
Fax
(918) 968-4498
NPI assigned
Apr 28, 2023
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Aubrey Montgomery
Title
Member
Phone
(479) 715-6759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

721 W Olive St
Stroud, OK 74079-4500

Mailing address

5305 W Village Pkwy Ste 9
Rogers, AR 72758-8116
Phone (479) 715-6759

Other names 1

  • Stroud 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
O20240919001623 OK Part A Provider - Skilled Nursing Facility 4385185230 Practice locations: Stroud, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396433116. Details of each certification follow.

Skilled nursing facility certification: CCN 375367

Legal name
STROUD NURSING & REHAB LLC
Doing business as
STROUD NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1999
Last certification
Feb 9, 2024
Beds
58
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 1, 2023
Organization structure
LLCProprietary
Incorporated
Oct 6, 2022 in OK
Enrollment address
721 W Olive St
Stroud, OK 74079-4500
Nursing home name
STROUD NURSING & REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stroud Nursing & RehabCCN 375367 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5846.0 residents per day on average
Penalties (3 years)
1Fines totaling $9,307

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
RCB Bank Organization, Claremore, OK Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest May 1, 2023 80%
Operational/Managerial Control May 1, 2023
Catherine Wilson Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyAdministrator May 1, 2023
Adp of the SNF May 1, 2023
Stroud Re Property Holdings, LLC Organization, Rogers, AR LLC, Holding company, For-profit Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Bradford Montgomery Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Ryan K Aldrich Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Aubrey Montgomery Individual 5% Or Greater Direct Ownership InterestManager May 1, 2023 100%
Limited Partnership InterestManager May 1, 2023 100%
Corporate OfficerManager May 1, 2023 100%
Forvis Mazars LLP Organization, Springfield, MO Consulting firm, For-profit Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Interhealth, LLC Organization, Rogers, AR LLC, For-profit Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 87

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

View all 87

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 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": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1396433116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 W VILLAGE PKWY STE 9",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588116",
            "telephone_number": "479-715-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W OLIVE ST",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740794500",
            "telephone_number": "918-968-2075",
            "fax_number": "918-968-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUD NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stroud Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroud, OK

Sources for this page

Verify at the official NPI Registry.