Organization Active NPI

Lindsay Nursing & Rehabilitation LLC

Doing business as Lindsay Nursing & Rehab

  • Nursing Facility/Intermediate Care Facility
  • Lindsay, OK
National Provider Identifier
1619487188
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2502 Issued in OK
Legal business name
LINDSAY NURSING & REHABILITATION LLC
Doing business as
Lindsay Nursing & Rehab
Practice address
1103 W Cherokee St
Lindsay, OK 73052-5105
Phone
(405) 756-4334
Fax
(405) 756-3873
NPI assigned
Oct 10, 2017
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Bradford Montgomery
Title
Managing Member
Phone
(479) 715-6759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH2502 OK Primary

Addresses

Primary practice location

1103 W Cherokee St
Lindsay, OK 73052-5105

Mailing address

9 Professional Dr
Bella Vista, AR 72715-8462
Phone (479) 715-6759

Other names 1

  • Lindsay Nursing & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117001153 OK Part A Provider - Skilled Nursing Facility 0648539783 Practice locations: Lindsay, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619487188. Details of each certification follow.

Skilled nursing facility certification: CCN 375206

Legal name
LINDSAY NURSING & REHABILITATION LLC
Doing business as
LINDSAY NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1995
Last certification
Dec 18, 2024
Beds
106
Ownership / control type
Corporation
Multi-facility organization
Interhealth Mangement
Organization structure
LLCProprietary
Incorporated
May 8, 2017 in OK
Enrollment address
1103 W Cherokee St
Lindsay, OK 73052-5105
Nursing home name
LINDSAY NURSING & REHAB
Affiliated entity
BRADFORD MONTGOMERY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lindsay Nursing & RehabCCN 375206 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10674.0 residents per day on average
Chain
Bradford Montgomery11 facilities in the chain

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
37D1037687Lindsay Nursing & Rehabilitation LLC1103 W Cherokee St, Lindsay, OK 73052Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Bradford Montgomery Individual 5% Or Greater Direct Ownership InterestAuthorized Offical May 8, 2017 100%
Jefferson White Individual W-2 Managing EmployeeAdministrator Aug 1, 2019 100%

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1619487188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158462",
            "telephone_number": "479-715-6759",
            "fax_number": "479-715-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525105",
            "telephone_number": "405-756-4334",
            "fax_number": "405-756-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY NURSING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindsay Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindsay, OK

Sources for this page

Verify at the official NPI Registry.