JLG Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH6902-6902 Issued in OK

Legal business name

JLG HEALTHCARE LLC

Doing business as

Elk Crossing

Practice address

811 W Elk
Duncan, OK 73533-1196

Phone

(580) 658-2319

NPI assigned

Aug 28, 2014

Last updated

May 16, 2016By 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

Jeff L Gregston

Title

Authorized Official

Phone

(580) 658-2319

Specialties & licenses 2

Addresses

Other names 1

• Elk Crossing 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 1467852244. Details of each certification follow.

• CCN 375566 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375566

Legal name

JLG HEALTHCARE LLC

Doing business as

ELK CROSSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 4, 2016

Last certification

Apr 25, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

May 24, 2011 in OK

Enrollment address

811W Elk Ave
Elk Crossing
Duncan, OK 73533-3865

Nursing home name

ELK CROSSING

Listed as

Elk CrossingCCN 375566 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 4, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120105.5 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 5

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 2

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

• Mathew J Ivory, M.D.

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1497781207

  Adp of the SNF

  CMS ownership
• Douglas C Miller, MD

  • Surgery Physician
  • Duncan, OK
  • NPI 1952441446

  5% Or Greater Direct Ownership Interest, Adp of the SNF

  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.

• Mathew J Ivory, M.D.

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1497781207
  NPD (past)
• Miguel Ray Sabedra, M.D.

  • Family Medicine Physician
  • Marlow, OK
  • NPI 1003881921
  NPD (past)

Affiliated clinicians 3

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

• Mathew J Ivory, M.D.

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1497781207

  Nursing home

  Care Compare affiliation
• Francis James McGouran III, M.D.

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1205819570

  Nursing home

  Care Compare affiliation
• Miguel Ray Sabedra, M.D.

  • Family Medicine Physician
  • Marlow, OK
  • NPI 1003881921

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1467852244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 TIMBERCREEK DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331196",
            "telephone_number": "580-658-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W ELK",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331196",
            "telephone_number": "580-658-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GREGSTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "580-658-2319"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6902-6902",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH6902-6902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adoria Marie Jean
• Chelsea Jenkins, PA-C, MHS
• James Henry Jennings, DDS
• Casey Dwayne Jiles, RPH, PHARMD
• Jim Taliaferro CMHC
• John K Cauthon D P M
• Sheryl Johnson-Bryan
• Kayleih Johnson
• Amber Lynn Jones
• James S Jones, MD

• Skilled Nursing Facility in Duncan, OK
• Providers in Duncan, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.