Active NPI
Miami Nursing Center, LLC
- Nursing Facility/Intermediate Care Facility
- Miami, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH5805-5805
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200078990A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 6, 2000
- Medicare certification status
- Active
- Certified beds
- 82
- Chain
- Oklahoma Nursing Homes, LTD.
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Mar 10, 2026 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Steven R. Tubbs Revocable Trust | 5% Or Greater Direct Ownership Interest | Feb 8, 2023 | 14% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Barnie Joe Cheek | 5% Or Greater Direct Ownership Interest | Feb 8, 2023 | 8.31% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Lloyd Wayne Haskins | 5% Or Greater Direct Ownership Interest | Feb 8, 2023 | 5.8% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Mar 10, 2026 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Justin W McGrew | 5% Or Greater Direct Ownership Interest | Jul 18, 2012 | 5.5% |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Sandra Cheek Farmer Trust | 5% Or Greater Direct Ownership Interest | Feb 8, 2023 | 8.31% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Patsy Estep | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 5.5% |
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| 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.
-
- Nursing Facility/Intermediate Care Facility
- Sallisaw, OK
- NPI 1952401192
Sandra Cheek Farmer Trust, Steven R. Tubbs Revocable Trust
-
- Nursing Facility/Intermediate Care Facility
- Commerce, OK
- NPI 1417058470
Sandra Cheek Farmer Trust, Steven R. Tubbs Revocable Trust
-
dba Windridge Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Miami, OK
- NPI 1700137551
Sandra Cheek Farmer Trust, Steven R. Tubbs Revocable Trust
-
- Nursing Facility/Intermediate Care Facility
- Nowata, OK
- NPI 1447358965
Sandra Cheek Farmer Trust, Steven R. Tubbs Revocable Trust
-
- Nursing Facility/Intermediate Care Facility
- Skiatook, OK
- NPI 1336247873
Sandra Cheek Farmer Trust, Steven R. Tubbs Revocable Trust
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.
-
- Family Medicine Physician
- Miami, OK
- NPI 1750352597
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
- Trinity Merritt
- Vada Arlene Mertens
- Meta Mental Health LLC
- Miami Chiropractic Clinic Inc.
- Miami Healthcare, LLC (Windridge Nursing and Rehabilitation Center)
- Miami Public Schools
- Miami Regional Dialysis Center, Inc. (Fresenius Medical Care Miami Midwest)
- Miami Womens Clinic Inc
- Lindsey Marie Miller, PTA
- Sarah Miller, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.