Baptist Village Retirement Communities of Oklahoma Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

CC55015501 Issued in OK

Legal business name

BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC

Doing business as

T.B. Lackey Health Care Center

Practice address

9700 Mashburn Blvd
Oklahoma City, OK 73162-5509

Phone

(405) 721-2466

Fax

(405) 721-0668

NPI assigned

May 24, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INCAs reported in NPPES

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

Authorized official

Name

Mr. Wendell J Short

Title

VP Planning & Project Management

Phone

(405) 942-3000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• T.B. LACKEY HEALTH CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447253240. Details of each certification follow.

• CCN 375381 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375381

Legal name

BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC

Doing business as

TB LACKEY HEALTH CARE CTR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 2000

Last certification

Jul 19, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Baptist Village Communities

Organization structure

CorporationNon-profit

Incorporated

Mar 1, 1965 in OK

Enrollment address

9700 Mashuburn Blvd
Oklahoma City, OK 73162-5509

Nursing home name

BAPTIST VILLAGE OF OKLAHOMA CITY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Baptist Village Retirement Communities of Oklahoma Inc

  dba Baptist Village of Enid

  • Skilled Nursing Facility
  • Enid, OK
  • NPI 1548037641

  6204871106

  Same PAC ID
• Baptist Village Retirement Communities of Oklahoma, Inc

  dba Entrusted Hearts Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Owasso, OK
  • NPI 1386625390

  6204871106

  Same PAC ID
• Baptist Village Retirement Communities of Oklahoma, Inc.

  dba Baptist Village of Owasso

  • Skilled Nursing Facility
  • Owasso, OK
  • NPI 1316934672

  6204871106

  Same PAC ID

Listed as

Baptist Village of Oklahoma CityCCN 375381 · 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

Non profit - Corporation

Certified

Jun 1, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12095.9 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $28,695

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Baptist Village Retirement Communities of Ok Inc8 organizations share this tax ID, including this one

Part of

Baptist Village Retirement Communities of Ok Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Baptist Village Retirement Communities of Ok, Inc

  dba Entrusted Hearts Private Services

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1053369090
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma Inc

  dba Entrusted Hearts Private Services

  • Home Health Agency
  • Enid, OK
  • NPI 1518910850
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma Inc

  dba Baptist Village of Enid

  • Skilled Nursing Facility
  • Enid, OK
  • NPI 1548037641
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma, Inc

  dba Entrusted Hearts Private Services

  • Home Health Agency
  • Owasso, OK
  • NPI 1134177223
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma, Inc

  dba Entrusted Hearts Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Owasso, OK
  • NPI 1386625390
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma, Inc

  dba Entrusted Hearts Private Services

  • Home Health Agency
  • Lawton, OK
  • NPI 1851532188
  NPD tax ID
• Baptist Village Retirement Communities of Oklahoma, Inc.

  dba Baptist Village of Owasso

  • Skilled Nursing Facility
  • Owasso, OK
  • NPI 1316934672
  NPD tax ID

All disclosed owners & managing parties 42

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

Owners & managing parties with NPI records 3

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

• Baptist Village Retirement Communities of Oklahoma Inc

  dba Baptist Village of Enid

  • Skilled Nursing Facility
  • Enid, OK
  • NPI 1548037641

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Baptist Village Retirement Communities of Oklahoma, Inc

  dba Entrusted Hearts Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Owasso, OK
  • NPI 1386625390

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Baptist Village Retirement Communities of Oklahoma, Inc.

  dba Baptist Village of Owasso

  • Skilled Nursing Facility
  • Owasso, OK
  • NPI 1316934672

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Baptist Village Retirement Communities of Oklahoma Inc

  dba Baptist Village of Enid

  • Skilled Nursing Facility
  • Enid, OK
  • NPI 1548037641

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Baptist Village Retirement Communities of Oklahoma, Inc.

  dba Baptist Village of Owasso

  • Skilled Nursing Facility
  • Owasso, OK
  • NPI 1316934672

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Baptist Village Retirement Communities of Oklahoma Inc

  dba Baptist Village of Enid

  • Skilled Nursing Facility
  • Enid, OK
  • NPI 1548037641

  Baptist Village Retirement Communities of Oklahoma, Inc

  CMS ownership
• Baptist Village Retirement Communities of Oklahoma, Inc.

  dba Baptist Village of Owasso

  • Skilled Nursing Facility
  • Owasso, OK
  • NPI 1316934672

  Baptist Village Retirement Communities of Oklahoma, Inc

  CMS ownership

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.

• Waddah N. Nassar, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1144252909
  NPD (past)
• Steven Blake O'Brien, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1841853751
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christine Renee Hauck, APRN

  • Family Nurse Practitioner
  • Yukon, OK
  • NPI 1669690269

  Nursing home

  Care Compare affiliation
• Waddah N. Nassar, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1144252909

  Nursing home

  Care Compare affiliation
• Steven Blake O'Brien, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1841853751

  Nursing home

  Care Compare affiliation
• Magesh Sathaiah, MD

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1285996157

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447253240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JOHNNY BENCH DR STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042470",
            "telephone_number": "405-724-2872",
            "fax_number": "405-721-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MASHBURN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625509",
            "telephone_number": "405-721-2466",
            "fax_number": "405-721-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP PLANNING & PROJECT MANAGEMENT",
        "authorized_official_telephone_number": "405-942-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "CC55015501",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC55015501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100774330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.B. LACKEY HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Banta
• Baptist Cardiology Specialists
• Baptist Counseling Associates, Inc.
• Baptist Healthcare of Oklahoma Inc (INTEGRIS Speciality Physicians Group)
• Baptist Village Retirement Communities of Ok, Inc (Entrusted Hearts Private Services)
• Dayana Barajas
• Hannah Barajas
• Christopher Baranano, MD
• Irina Vitalyevna Baranskaya, M.D.
• Romelia Anais Barba Bernal, MD

• Nursing Facility/Intermediate Care Facility in Oklahoma City, OK
• Providers in Oklahoma City, 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 Sep 11, 2025; 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.