Southwest LTC Lawton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTHWEST LTC LAWTON LLC

Doing business as

Willow Park Healthcare Center

Practice address

7019 NW Cache Rd
Lawton, OK 73505-2707

Phone

(469) 916-6100

Fax

(469) 916-6105

NPI assigned

Feb 17, 2015

Last updated

Feb 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald R Payne

Title

Ceo

Phone

(469) 916-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Park Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588055206. Details of each certification follow.

• CCN 375431 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375431

Legal name

SOUTHWEST LTC LAWTON LLC

Doing business as

WILLOW PARK HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 22, 2003

Last certification

Oct 7, 2024

Beds

151

Ownership / control type

Corporation

Multi-facility organization

Southwest Long Term Care

Organization structure

LLCProprietary

Enrollment address

7019 NW Cache Road
Lawton, OK 73505-2707

Nursing home name

WILLOW PARK HEALTH CARE CENTER

Affiliated entity

SOUTHWEST LTC

Listed as

Willow Park Health Care CenterCCN 375431 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 22, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15183.0 residents per day on average

Chain

Southwest LTC10 facilities in the chain

Penalties (3 years)

2Fines totaling $53,431

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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 9

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

• Southwest LTC - Hobart, LLC

  dba Hobart Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Hobart, OK
  • NPI 1598488769

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC Management Services, LLC, Southwest LTC Oklahoma Holdings, LLC, Southwest LTC, LTD

  CMS ownership
• Southwest LTC - NW Okc, LLC

  dba Northwest Nursing Center

  • Skilled Nursing Facility
  • Oklahoma City, OK
  • NPI 1700267754

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC Management Services, LLC, Southwest LTC Oklahoma Holdings, LLC, Southwest LTC, LTD

  CMS ownership
• Southwest LTC - Quail Creek, LLC

  dba Heritage at Brandon Place

  • Skilled Nursing Facility
  • Oklahoma City, OK
  • NPI 1447631494

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC Management Services, LLC, Southwest LTC Oklahoma Holdings, LLC, Southwest LTC, LTD

  CMS ownership
• Southwest LTC - Temple LLC

  dba Temple Manor Nursing Home

  • Skilled Nursing Facility
  • Temple, OK
  • NPI 1639560337

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC Management Services, LLC, Southwest LTC Oklahoma Holdings, LLC, Southwest LTC, LTD

  CMS ownership
• Southwest LTC Tuttle LLC

  dba Tuttle Care Center

  • Skilled Nursing Facility
  • Tuttle, OK
  • NPI 1861884348

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC Management Services, LLC, Southwest LTC Oklahoma Holdings, LLC, Southwest LTC, LTD

  CMS ownership
• Ascend Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Monroe, LA
  • NPI 1639483738

  Quality Care Givers Inc

  CMS ownership
• Red River Behavioral Center LLC

  • Psychiatric Hospital
  • Bossier City, LA
  • NPI 1881638880

  Quality Care Givers Inc

  CMS ownership
• Southwest LTC - Corsicana LLC

  dba The Village at Heritage Oaks

  • Skilled Nursing Facility
  • Corsicana, TX
  • NPI 1649735036

  Quality Care Givers Inc, Southwest LTC, LTD

  CMS ownership
• Southwest LTC - Corsicana West LLC

  dba Legacy West Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Corsicana, TX
  • NPI 1730644121

  Quality Care Givers Inc, Ronald R Payne PC, Southwest LTC, LTD

  CMS ownership

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.

• Terry Hermance, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518980580
  NPD (past)

Affiliated clinicians 1

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

• Terry Hermance, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518980580

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1588055206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 LEGACY DR",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346038",
            "telephone_number": "469-916-6100",
            "fax_number": "469-916-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052707",
            "telephone_number": "469-916-6100",
            "fax_number": "469-916-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LTC LAWTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-916-6100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Park Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lawton, OK
• Providers in Lawton, 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 Feb 17, 2015; 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.