Organization Active NPI

Baptist Village Retirement Communities of Oklahoma Inc

  • Skilled Nursing Facility
  • Enid, OK
National Provider Identifier
1548037641
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baptist Village of EnidCCN 375406
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9072.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0959161Baptist Village of Enid5801 N Oakwood, Enid, OK 73703Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baptist Village Retirement Communities of Ok Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Jon R Mills Individual Adp of the SNF Dec 1, 2023
Mary Russell Individual Corporate OfficerCorporate Secretary Nov 19, 2019
Jacqueline Mink Individual Corporate Director Nov 30, 2021
Adp of the SNF Nov 30, 2021
Randall D McFarland Individual Corporate Officer2ND Vice Chair Nov 19, 2024
Corporate Director Aug 14, 2023
Adp of the SNF Nov 28, 2023
Bancfirst Organization, Oklahoma City, OK Financial institution 5% Or Greater Mortgage Interest Dec 1, 2023 56.9%
Adp of the SNF Apr 11, 2025
Jean Barrett Individual Corporate DirectorAdvisor Nov 18, 2025
Adp of the SNF Nov 18, 2025
Michael Johnson Individual Corporate Director Nov 19, 2024
Adp of the SNF Nov 19, 2024
Paul Abbott Individual Corporate DirectorAdvisor Nov 18, 2025
Adp of the SNF Nov 18, 2025
Susan Rooker Individual Corporate OfficerChief Financial Officer Nov 19, 2019
Operational/Managerial Control Nov 19, 2019
Adp of the SNF Nov 19, 2019
Doug Burrows Individual Corporate Director Nov 18, 2025
Adp of the SNF Nov 18, 2025
Margaret Smith Individual Corporate Director Nov 19, 2024
Adp of the SNF Nov 19, 2024
Linda Gibbs Individual Corporate Director Nov 30, 2021
Adp of the SNF Nov 30, 2021
Linda Enlow Individual Corporate Officer Nov 28, 2023
Adp of the SNF Nov 28, 2023
Parniece Briggs Individual Corporate Director Nov 18, 2025
Adp of the SNF Nov 18, 2025
Samuel Staats Individual Corporate Director Nov 19, 2024
Adp of the SNF Nov 19, 2024
Todd Fisher Individual Corporate Officer Nov 30, 2021
Adp of the SNF Nov 30, 2021
William M Pierce Individual Corporate Officer Oct 1, 1993
Operational/Managerial Control Oct 1, 1993
Adp of the SNF Oct 1, 1993
Mark Gandy Individual Corporate OfficerChair Nov 28, 2023
Corporate Director Nov 30, 2021
Adp of the SNF Nov 17, 2021
George Gibbs Individual Corporate DirectorAdvisor Nov 19, 2024
Adp of the SNF Nov 19, 2024
Nan Haynes Individual Corporate Director Nov 18, 2025
Adp of the SNF Nov 18, 2025
Brian Koons Individual Corporate Director Nov 18, 2025
Adp of the SNF Nov 18, 2025
Baptist Village Retirement Communities of Oklahoma, Inc Organization, Oklahoma City, OK Corporation, Non-profit 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 Individual Corporate OfficerVice Chair Nov 19, 2024
Corporate Director Nov 28, 2023
Adp of the SNF Nov 28, 2023
Kerry Russell Individual Corporate DirectorAdvisor Nov 19, 2024
Adp of the SNF Nov 19, 2024
Robin Barby Individual Adp of the SNF Dec 1, 2023
Lauri Fluke Individual Corporate OfficerVP Finance Oct 1, 2021
Operational/Managerial Control Oct 1, 2021
Adp of the SNF Jun 1, 2021
Eddie Miller Individual Corporate DirectorAdvisor Nov 19, 2024
Adp of the SNF Nov 19, 2024
Organization, Enid, OK Financial institution Indirect Ownership Interest Dec 21, 2023
Organization, Fargo, ND Adp of the SNF Apr 11, 2025
Indirect Ownership Interest Dec 21, 2023
Michael Matlock Individual Corporate Director Nov 19, 2019
Adp of the SNF Nov 19, 2019
Judy Miles Individual Corporate Director Nov 28, 2023
Adp of the SNF Nov 28, 2023
Catherine Netherland Goddard Individual Corporate DirectorAdvisor Nov 18, 2025
Adp of the SNF Nov 18, 2025
Ricky Coleman Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Andy McPherson Individual Corporate Director Nov 18, 2025
Adp of the SNF Nov 18, 2025
Kellye Fuchs Individual Corporate Director Nov 28, 2023
Adp of the SNF Nov 28, 2023
Kevin Bell Individual Corporate Director Nov 17, 2020
Adp of the SNF Nov 17, 2020
Paul Scott Individual Corporate Director Nov 29, 2022
Adp of the SNF Nov 29, 2022
Wendell Short Individual Corporate OfficerVice President Jun 1, 2013
Operational/Managerial Control Jun 1, 2013
Adp of the SNF Jun 1, 2013
Organization, Pittsburgh, PA Medical staffing company Indirect Ownership Interest Dec 21, 2023
Steven Thomas Individual Corporate OfficerSr Vice President May 1, 2012
Operational/Managerial Control May 1, 2003
Adp of the SNF Aug 1, 2003
Frieda Stewart Individual Corporate Officer Aug 20, 2019
Operational/Managerial Control Aug 20, 2019
Adp of the SNF Aug 20, 2019
Frank C Davis Individual Corporate Director Nov 29, 2022
Adp of the SNF Nov 29, 2022
James Turner Individual Corporate Director Nov 28, 2023
Adp of the SNF Nov 28, 2023
Will Johnson Individual 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.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Village of OwassoOwasso, OK, CCN 375382 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 CtrOklahoma City, OK, CCN 375381 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.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 3

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

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

Verify at the official NPI Registry.