N & R Shawnee LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH6311-6311 Issued in OK

Legal business name

N & R SHAWNEE LLC

Doing business as

SHAWNEE COLONIAL ESTATES NURSING HOME

Practice address

535 W Federal St
Shawnee, OK 74804-2713

Phone

(405) 273-7661

Fax

(405) 273-7893

NPI assigned

May 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jay H Trumbo

Title

Cfo

Phone

(502) 254-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHAWNEE COLONIAL ESTATES NURSING HOME Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375432

Legal name

N & R SHAWNEE LLC

Doing business as

SHAWNEE COLONIAL ESTATES NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 20, 2003

Last certification

Apr 10, 2025

Beds

161

Ownership / control type

Corporation

Multi-facility organization

N and R of Kentucky

Most recent change of ownership

Oct 1, 2003

Organization structure

LLCProprietary

Enrollment address

535 W. Federal
Shawnee, OK 74804-2713

Nursing home name

SHAWNEE COLONIAL ESTATES NURSING HOME

Listed as

Shawnee Colonial Estates Nursing HomeCCN 375432 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 20, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

16159.7 residents per day on average

Penalties (3 years)

1Fines totaling $44,355

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

Locations

All disclosed owners & managing parties 6

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

Facilities with the same owner 3

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

• N& R of Ponca City LLC

  • Skilled Nursing Facility
  • Ponca City, OK
  • NPI 1003815796

  Health Systems of Oklahoma, LLC

  CMS ownership
• N&R of Chickasha, LLC

  • Skilled Nursing Facility
  • Chickasha, OK
  • NPI 1962780635

  Health Systems of Oklahoma, LLC

  CMS ownership
• N&R of Westhaven L L C

  • Skilled Nursing Facility
  • Stillwater, OK
  • NPI 1912906694

  Health Systems of Oklahoma, LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Vail Stephens, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1528018942
  NPD (past)

Affiliated clinicians 1

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

• Adam Vail Stephens, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1528018942

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1508869033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 TOWNEPARK CIR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432348",
            "telephone_number": "502-254-9525",
            "fax_number": "502-254-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W FEDERAL ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042713",
            "telephone_number": "405-273-7661",
            "fax_number": "405-273-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R SHAWNEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TRUMBO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-9525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH6311-6311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAWNEE COLONIAL ESTATES NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Rose Munoz, APRN
• Tomi Kae Murdock
• Nikita Travis Muse
• Susan Leigh Mustafina, M.ED
• Craig Myers, BC-HIS
• Munisha Nanda
• Donna Nash, NURSEAIDE
• Cary Douglas Nation, PA-C
• Dylan Thomas Naylor
• Elizabeth R. Nelson, BS, MS

• Skilled Nursing Facility in Shawnee, OK
• Providers in Shawnee, 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 Aug 27, 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.