Active NPI
Colbert Nursing Home Inc.
Doing business as Southern Pointe Living Center
- Skilled Nursing Facility
- Colbert, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0707
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 19, 2004
- Medicare certification status
- Active
- Certified beds
- 95
- Chain
- BGM Estate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0701793 | Southern Pointe Living Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marcinda Mitchell | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 12.5% |
| Robert Mitchell | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 12.5% |
| Tiffany Seay Exempt TR | 5% Or Greater Direct Ownership Interest | Apr 6, 2022 | 7.42% |
| Jaci Pitts | Corporate Officer | Dec 9, 2024 | |
| MRTL Deduction TR Cu Gilbert F Green TR | 5% Or Greater Direct Ownership Interest | Dec 7, 2021 | 5.54% |
| Sandra Taylor | W-2 Managing Employee | Dec 28, 2020 | |
| Miranda Belt | Corporate Officer | Dec 9, 2024 | |
| Bypass TR Cu Gilbert F Green TR | 5% Or Greater Direct Ownership Interest | Dec 6, 2021 | 6.96% |
| Philip M. Green Revocable Trust | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 25% |
| Kelly Mitchell | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 12.5% |
| Angela Tabor | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 12.5% |
| Philip Marion Green Exempt TR Cu Gilbert F Green TR | 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.
-
dba Antlers Manor
- Skilled Nursing Facility
- Antlers, OK
- NPI 1922095009
Philip M. Green Revocable Trust, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba Choctaw Nation Care Center
- Skilled Nursing Facility
- Antlers, OK
- NPI 1023005113
Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
- Skilled Nursing Facility
- Pryor, OK
- NPI 1669469755
Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba Cimarron Nursing Center
- Skilled Nursing Facility
- Kingfisher, OK
- NPI 1265429344
Philip M. Green Revocable Trust, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba Jan Frances Care Center
- Skilled Nursing Facility
- Ada, OK
- NPI 1649267733
Philip M. Green Revocable Trust
-
dba Boyce Manor Nursing Home
- Skilled Nursing Facility
- Holdenville, OK
- NPI 1356338438
Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba Parkhill North Nursing Home
- Skilled Nursing Facility
- Salina, OK
- NPI 1538156625
Bypass TR Cu Gilbert F Green TR, MRTL Deduction TR Cu Gilbert F Green TR, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
- Skilled Nursing Facility
- Pryor, OK
- NPI 1437146529
Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba First Shamrock Care Center
- Skilled Nursing Facility
- Kingfisher, OK
- NPI 1912994997
Philip M. Green Revocable Trust, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR
-
dba Shawnee Care Center
- Skilled Nursing Facility
- Shawnee, OK
- NPI 1437147212
Philip M. Green Revocable Trust
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.
-
- Internal Medicine Physician
- Durant, OK
- NPI 1275827305
-
- Specialist
- Denison, TX
- NPI 1528095502
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.