Senior Citizens Nursing Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH 7224-7224 Issued in OK

Legal business name

SENIOR CITIZENS NURSING CENTER, INC.

Practice address

1306 E College St
Broken Arrow, OK 74012-4205

Phone

(918) 251-3200

Fax

(918) 251-9865

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacquelyn D. Owen

Title

Administrator

Phone

(918) 251-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396838439. Details of each certification follow.

• CCN 375233 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375233

Legal name

SENIOR CITIZENS NURSING CENTER, INC.

Doing business as

CEDARCREST CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1995

Last certification

Feb 23, 2024

Beds

89

Ownership / control type

Partnership

Organization structure

CorporationProprietary

Incorporated

Dec 31, 1979 in OK

Enrollment address

1306 East College St
Cedarcrest Care Center
Broken Arrow, OK 74012-4205

Nursing home name

CEDARCREST CARE CENTER

Listed as

Cedarcrest Care CenterCCN 375233 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jul 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8957.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Practitioners 1

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.

• Thomas C Luiskutty, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1447238654
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396838439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124205",
            "telephone_number": "918-251-3200",
            "fax_number": "918-251-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124205",
            "telephone_number": "918-251-3200",
            "fax_number": "918-251-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-251-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH 7224-7224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Leann Sedlacek, PA
• Gerald Seefeldt, M.D.
• Gregory D Segraves, D.D.S., M.S.
• Zelda Faith Sellen, PHD
• Loren Sells
• Seniorvision of Oklahoma LLC
• Serenity Home Care LLC (HomeWell Care Services)
• Serenity's Baby Spa
• Taroniar Sevathas, DMD
• Narumi Shah, PT

• Nursing Facility/Intermediate Care Facility in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.