Organization Active NPI

Miami Nursing Center, LLC

  • Nursing Facility/Intermediate Care Facility
  • Miami, OK
National Provider Identifier
1528169588
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH5805-5805 Issued in OK
Legal business name
MIAMI NURSING CENTER, LLC
Practice address
1100 E St NE
Miami, OK 74354-3435
Phone
(918) 542-3335
Fax
(918) 542-8159
NPI assigned
Sep 25, 2006
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mr. Justin W. McGrew
Title
Business Management
Phone
(918) 775-4439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH5805-5805 OK Primary

Addresses

Primary practice location

1100 E St NE
Miami, OK 74354-3435

Mailing address

1100 East Street Northeast
Miami, OK 74354-3435
Phone (918) 542-3335

Other identifiers 1

IdentifierTypeStateIssuer
200078990AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000200 OK Part A Provider - Skilled Nursing Facility 3476568213 Practice locations: Miami, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528169588. Details of each certification follow.

Skilled nursing facility certification: CCN 375388

Legal name
MIAMI NURSING CENTER, LLC
Doing business as
MIAMI NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 6, 2000
Last certification
Jul 22, 2024
Beds
82
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Jan 11, 2005 in OK
Enrollment address
1100 E St NE
Miami Nursing Center
Miami, OK 74354-3435
Nursing home name
MIAMI NURSING CENTER, LLC
Affiliated entity
OKLAHOMA NURSING HOMES, LTD.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Miami Nursing Center, LLCCCN 375388 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 6, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8263.6 residents per day on average
Chain
Oklahoma Nursing Homes, LTD.7 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $20,515

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2025
Organization, Sallisaw, OK Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Mar 10, 2026
Organization, Bentonville, AR Trustee of the SNF Jan 1, 2025
Organization, Gales Ferry, CT Trustee of the SNF Jan 1, 2025
Steven R. Tubbs Revocable Trust Organization, Miami, OK 5% Or Greater Direct Ownership Interest Feb 8, 2023 14%
Trustee of the SNF Jan 1, 2025
Barnie Joe Cheek Individual 5% Or Greater Direct Ownership Interest Feb 8, 2023 8.31%
Organization, Tulsa, OK Trustee of the SNF Jan 1, 2025
Organization, Broken Arrow, OK Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Organization, Langley, OK Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Organization, Langley, OK Trustee of the SNF Jan 1, 2025
Lloyd Wayne Haskins Individual 5% Or Greater Direct Ownership Interest Feb 8, 2023 5.8%
Individual Trustee of the SNF Jan 1, 2025
Organization, Sallisaw, OK Management services company Adp of the SNF Mar 10, 2026
Organization, Waldron, AR Trustee of the SNF Jan 1, 2025
Justin W McGrew Individual 5% Or Greater Direct Ownership Interest Jul 18, 2012 5.5%
Operational/Managerial Control Jan 1, 2025
Sandra Cheek Farmer Trust Organization, Tulsa, OK 5% Or Greater Direct Ownership Interest Feb 8, 2023 8.31%
Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Organization, Oklahoma City, OK Trustee of the SNF Jan 1, 2025
Organization, Sallisaw, OK Trustee of the SNF Jan 1, 2025
Individual Trustee of the SNF Jan 1, 2025
Organization, Sallisaw, OK Trustee of the SNF Jan 1, 2025
Organization, Broken Arrow, OK Trustee of the SNF Jan 1, 2025
Organization, Sapulpa, OK Trustee of the SNF Jan 1, 2025
Patsy Estep Individual 5% Or Greater Direct Ownership Interest Jan 1, 2022 5.5%
Organization, Overland Park, KS Trustee of the SNF Jan 1, 2025
Organization, Grove, OK Trustee of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Organization, Stroud, OK Trustee of the SNF Jan 1, 2025

Facilities with the same owner 5

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1528169588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EAST STREET NORTHEAST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743543435",
            "telephone_number": "918-542-3335",
            "fax_number": "918-542-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ST NE",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743543435",
            "telephone_number": "918-542-3335",
            "fax_number": "918-542-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "BUSINESS MANAGEMENT",
        "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": "NH5805-5805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.