Organization Active NPI

Colbert Nursing Home Inc.

Doing business as Southern Pointe Living Center

  • Skilled Nursing Facility
  • Colbert, OK
National Provider Identifier
1427045210
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0707 Issued in OK
Legal business name
COLBERT NURSING HOME INC.
Doing business as
Southern Pointe Living Center
Practice address
101 Sherrard St
Colbert, OK 74733-2112
Phone
(580) 296-4500
Fax
(580) 296-4502
NPI assigned
Oct 5, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Michael Brandon Morgan
Title
President
Phone
(918) 235-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0707 OK Primary

Addresses

Primary practice location

101 Sherrard St
Colbert, OK 74733-2112

Mailing address

101 Sherrard St
Colbert, OK 74733-2112
Phone (580) 296-4500

Other names 1

  • Southern Pointe Living Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412002412 OK Part A Provider - Skilled Nursing Facility 1658336342 Practice locations: Colbert, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427045210. Details of each certification follow.

Skilled nursing facility certification: CCN 375469

Legal name
COLBERT NURSING HOME, INC.
Doing business as
SOUTHERN POINTE LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 19, 2004
Last certification
Apr 4, 2024
Beds
95
Ownership / control type
Corporation
Multi-facility organization
LTC Accounting Services
Organization structure
CorporationProprietary
Enrollment address
101 Sherrard St
Colbert, OK 74733-2112
Nursing home name
SOUTHERN POINTE LIVING CENTER
Affiliated entity
BGM ESTATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Southern Pointe Living CenterCCN 375469 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 19, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9553.6 residents per day on average
Chain
BGM Estate15 facilities in the chain
Penalties (3 years)
1Fines totaling $38,445

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
37D0701793Southern Pointe Living Center101 Sherrard Dr, Colbert, OK 74733Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Marcinda Mitchell Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 12.5%
Robert Mitchell Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 12.5%
Tiffany Seay Exempt TR Organization, Sallisaw, OK 5% Or Greater Direct Ownership Interest Apr 6, 2022 7.42%
Jaci Pitts Individual Corporate OfficerCeo Dec 9, 2024
MRTL Deduction TR Cu Gilbert F Green TR Organization, Sallisaw, OK 5% Or Greater Direct Ownership Interest Dec 7, 2021 5.54%
Sandra Taylor Individual W-2 Managing EmployeeDirector of Reimbursement Dec 28, 2020
Miranda Belt Individual Corporate OfficerCfo Dec 9, 2024
Bypass TR Cu Gilbert F Green TR Organization, Sallisaw, OK 5% Or Greater Direct Ownership Interest Dec 6, 2021 6.96%
Philip M. Green Revocable Trust Organization, Sallisaw, OK 5% Or Greater Direct Ownership Interest Dec 28, 2020 25%
Kelly Mitchell Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 12.5%
Angela Tabor Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 12.5%
Philip Marion Green Exempt TR Cu Gilbert F Green TR Organization, Sallisaw, OK 5% Or Greater Direct Ownership Interest Dec 8, 2021 5.08%

Facilities with the same owner 10

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

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 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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1427045210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHERRARD ST",
            "city": "COLBERT",
            "state": "OK",
            "postal_code": "747332112",
            "telephone_number": "580-296-4500",
            "fax_number": "580-296-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHERRARD ST",
            "city": "COLBERT",
            "state": "OK",
            "postal_code": "747332112",
            "telephone_number": "580-296-4500",
            "fax_number": "580-296-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBERT NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-235-6443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH0707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pointe Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colbert, OK

Sources for this page

Verify at the official NPI Registry.