NPIMap

Organization Active NPI

Osage Nursing Center, LLC

  • Nursing Facility/Intermediate Care Facility
  • Nowata, OK
National Provider Identifier
1447358965
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5303-5303 Issued in OK
Legal business name
OSAGE NURSING CENTER, LLC
Practice address
822 W Osage Ave
Nowata, OK 74048-3317
Phone
(918) 273-2012
Fax
(918) 273-3631
NPI assigned
Sep 20, 2006
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mr. Justin McGrew
Title
Member
Phone
(918) 775-4439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH5303-5303 OK Primary

Addresses

Primary practice location

822 W Osage Ave
Nowata, OK 74048-3317

Mailing address

PO Box 429
Sallisaw, OK 74955-0429
Phone (918) 775-4439

Other identifiers 1

IdentifierTypeStateIssuer
200076660AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060210000518 OK Part A Provider - Skilled Nursing Facility 4486669512 Practice locations: Nowata, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447358965. Details of each certification follow.

Skilled nursing facility certification: CCN 375474

Legal name
OSAGE NURSING CENTER, LLC
Doing business as
OSAGE NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 15, 2004
Last certification
Feb 5, 2025
Beds
50
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 5, 2005
Organization structure
LLCProprietary
Incorporated
Jan 11, 2005 in OK
Enrollment address
822 W Osage Ave
Osage Nursing Home
Nowata, OK 74048-3302
Nursing home name
OSAGE NURSING HOME, LLC
Affiliated entity
OKLAHOMA NURSING HOMES, LTD.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Osage Nursing Home, LLCCCN 375474 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 15, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5023.5 residents per day on average
Chain
Oklahoma Nursing Homes, LTD.7 facilities in the chain

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
37D0689311Osage Nursing Home822 W Osage Ave, Nowata, OK 74048Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Steven R. Tubbs Revocable Trust Organization, Miami, OK 5% Or Greater Direct Ownership Interest Jan 1, 2023 14%
Barnie Joe Cheek Individual 5% Or Greater Direct Ownership Interest Jan 11, 2005 8.3%
Lloyd Wayne Haskins Individual 5% Or Greater Direct Ownership Interest Jan 11, 2005 5.8%
Justin W McGrew Individual 5% Or Greater Direct Ownership Interest May 8, 2012 5.5%
W-2 Managing Employee Jan 1, 2008
Sandra Cheek Farmer Trust Organization, Tulsa, OK 5% Or Greater Direct Ownership Interest May 8, 2012 8%
Carolyn D Leaverton Revocable Trust Organization, Broken Arrow, OK 5% Or Greater Direct Ownership Interest Feb 13, 2023 5.13%
Patsy Estep Individual 5% Or Greater Direct Ownership Interest May 8, 2012 5.5%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1447358965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550429",
            "telephone_number": "918-775-4439",
            "fax_number": "918-775-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W OSAGE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483317",
            "telephone_number": "918-273-2012",
            "fax_number": "918-273-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-775-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH5303-5303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200076660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nowata, OK

Sources for this page

Verify at the official NPI Registry.