Active NPI
Baptist Village Retirement Communities of Oklahoma Inc
- Skilled Nursing Facility
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
- Practice address
- 5801 N Oakwood Rd
Enid, OK 73703-9344 - Phone
- (580) 249-2600
- NPI assigned
- Dec 8, 2023
- 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
- Wendell J Short
- Title
- Vice President
- Phone
- (405) 942-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5801 N Oakwood Rd
Enid, OK 73703-9344
Mailing address
300 Johnny Bench Dr Ste 400
Oklahoma City, OK 73104-2470
Phone (405) 724-2872
Other names 1
- Baptist Village of Enid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240321003887 | OK | Part A Provider - Skilled Nursing Facility | 6204871106 | Practice locations: Enid, OK |
Skilled nursing facility certification: CCN 375406
- Legal name
- BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC
- Doing business as
- BAPTIST VILLAGE OF ENID
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 4, 2002
- Last certification
- Dec 5, 2024
- Beds
- 90
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Baptist Village Retirement Communities
- Organization structure
- Corporation
- Incorporated
- Oct 12, 1993 in OK
- Enrollment address
- 5801 N Oakwood Rd
BLDG D
Enid, OK 73703-9320 - Nursing home name
- BAPTIST VILLAGE OF ENID
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
6204871106
-
- Durable Medical Equipment & Medical Supplies
- Owasso, OK
- NPI 1386625390
6204871106
-
- Skilled Nursing Facility
- Owasso, OK
- NPI 1316934672
6204871106
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Baptist Village of Enid
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 4, 2002
- Medicare certification status
- Active
- Certified beds
- 90
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0959161 | Baptist Village of Enid | Certificate of waiver | Apr 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Village Retirement Communities of Ok Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1053369090
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
-
- Home Health Agency
- Enid, OK
- NPI 1518910850
-
- Home Health Agency
- Owasso, OK
- NPI 1134177223
-
- Durable Medical Equipment & Medical Supplies
- Owasso, OK
- NPI 1386625390
-
- Home Health Agency
- Lawton, OK
- NPI 1851532188
-
- Skilled Nursing Facility
- Owasso, OK
- NPI 1316934672
Locations
5801 N Oakwood Rd
Bldg D
Enid, OK 73703
Phone (580) 249-2600
60 NW Sheridan Rd
Lawton, OK 73505
Phone (580) 355-2440
12600 E 73rd St N
Owasso, OK 74055
Phone (918) 272-2281
208 E 5th Ave
Ste F
Owasso, OK 74055
Phone (918) 274-4310
Ownership & related parties
All disclosed owners & managing parties 44
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 |
|---|---|---|---|
| Jon R Mills | Adp of the SNF | Dec 1, 2023 | |
| Mary Russell | Corporate Officer | Nov 19, 2019 | |
| Jacqueline Mink | Corporate Director | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 | ||
| Randall D McFarland | Corporate Officer | Nov 19, 2024 | |
| Corporate Director | Aug 14, 2023 | ||
| Adp of the SNF | Nov 28, 2023 | ||
| Bancfirst | 5% Or Greater Mortgage Interest | Dec 1, 2023 | 56.9% |
| Adp of the SNF | Apr 11, 2025 | ||
| Jean Barrett | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Michael Johnson | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Paul Abbott | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Susan Rooker | Corporate Officer | Nov 19, 2019 | |
| Operational/Managerial Control | Nov 19, 2019 | ||
| Adp of the SNF | Nov 19, 2019 | ||
| Doug Burrows | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Margaret Smith | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Linda Gibbs | Corporate Director | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 | ||
| Linda Enlow | Corporate Officer | Nov 28, 2023 | |
| Adp of the SNF | Nov 28, 2023 | ||
| Parniece Briggs | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Samuel Staats | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Todd Fisher | Corporate Officer | Nov 30, 2021 | |
| Adp of the SNF | Nov 30, 2021 | ||
| William M Pierce | Corporate Officer | Oct 1, 1993 | |
| Operational/Managerial Control | Oct 1, 1993 | ||
| Adp of the SNF | Oct 1, 1993 | ||
| Mark Gandy | Corporate Officer | Nov 28, 2023 | |
| Corporate Director | Nov 30, 2021 | ||
| Adp of the SNF | Nov 17, 2021 | ||
| George Gibbs | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Nan Haynes | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Brian Koons | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Baptist Village Retirement Communities of Oklahoma, Inc | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 | 100% |
| Operational/Managerial Control | Dec 1, 2023 | ||
| Adp of the SNF | Dec 1, 2023 | ||
| Matthew Trentham | Corporate Officer | Nov 19, 2024 | |
| Corporate Director | Nov 28, 2023 | ||
| Adp of the SNF | Nov 28, 2023 | ||
| Kerry Russell | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Robin Barby | Adp of the SNF | Dec 1, 2023 | |
| Lauri Fluke | Corporate Officer | Oct 1, 2021 | |
| Operational/Managerial Control | Oct 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| Eddie Miller | Corporate Director | Nov 19, 2024 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Indirect Ownership Interest | Dec 21, 2023 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Indirect Ownership Interest | Dec 21, 2023 | ||
| Michael Matlock | Corporate Director | Nov 19, 2019 | |
| Adp of the SNF | Nov 19, 2019 | ||
| Judy Miles | Corporate Director | Nov 28, 2023 | |
| Adp of the SNF | Nov 28, 2023 | ||
| Catherine Netherland Goddard | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Ricky Coleman | Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Andy McPherson | Corporate Director | Nov 18, 2025 | |
| Adp of the SNF | Nov 18, 2025 | ||
| Kellye Fuchs | Corporate Director | Nov 28, 2023 | |
| Adp of the SNF | Nov 28, 2023 | ||
| Kevin Bell | Corporate Director | Nov 17, 2020 | |
| Adp of the SNF | Nov 17, 2020 | ||
| Paul Scott | Corporate Director | Nov 29, 2022 | |
| Adp of the SNF | Nov 29, 2022 | ||
| Wendell Short | Corporate Officer | Jun 1, 2013 | |
| Operational/Managerial Control | Jun 1, 2013 | ||
| Adp of the SNF | Jun 1, 2013 | ||
| Indirect Ownership Interest | Dec 21, 2023 | ||
| Steven Thomas | Corporate Officer | May 1, 2012 | |
| Operational/Managerial Control | May 1, 2003 | ||
| Adp of the SNF | Aug 1, 2003 | ||
| Frieda Stewart | Corporate Officer | Aug 20, 2019 | |
| Operational/Managerial Control | Aug 20, 2019 | ||
| Adp of the SNF | Aug 20, 2019 | ||
| Frank C Davis | Corporate Director | Nov 29, 2022 | |
| Adp of the SNF | Nov 29, 2022 | ||
| James Turner | Corporate Director | Nov 28, 2023 | |
| Adp of the SNF | Nov 28, 2023 | ||
| Will Johnson | Corporate Officer | Nov 17, 2020 | |
| Adp of the SNF | Nov 17, 2020 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Durable Medical Equipment & Medical Supplies
- Owasso, OK
- NPI 1386625390
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Owasso, OK
- NPI 1316934672
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Village of Owasso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 26, 1993 Sep 26, 1993 Sep 26, 1993 |
| TB Lackey Health Care Ctr | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 26, 1993 Sep 26, 1993 Sep 26, 1993 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Owasso, OK
- NPI 1316934672
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
Baptist Village Retirement Communities of Oklahoma, Inc
-
- Skilled Nursing Facility
- Owasso, OK
- NPI 1316934672
Baptist Village Retirement Communities of Oklahoma, Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Enid, OK
- NPI 1639224264
-
- Optometrist
- Hugo, OK
- NPI 1689769481
-
- Family Medicine Physician
- Enid, OK
- NPI 1952627069
Affiliated clinicians 3
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": "1701993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1548037641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 JOHNNY BENCH DR STE 400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042470",
"telephone_number": "405-724-2872",
"fax_number": "405-942-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 N OAKWOOD RD",
"city": "ENID",
"state": "OK",
"postal_code": "737039344",
"telephone_number": "580-249-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-08",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "WENDELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "405-942-3000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Village of Enid",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.