NPIMap

Organization Active NPI

Calera Manor LLC

Doing business as Calera Manor

  • Skilled Nursing Facility
  • Calera, OK
National Provider Identifier
1619964756
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0703 Issued in OK
Legal business name
CALERA MANOR LLC
Doing business as
Calera Manor
Practice address
1061 N Service Rd
Calera, OK 74730-9801
Phone
(580) 434-5727
Fax
(580) 434-5827
NPI assigned
Oct 4, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Michael Brandon MorganNPI 1679937981
Title
President
Phone
(479) 769-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0703 OK Primary

Addresses

Primary practice location

1061 N Service Rd
Calera, OK 74730-9801

Mailing address

1061 N Service Rd
Calera, OK 74730-1806
Phone (580) 434-5727

Other names 1

  • Calera Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405002124 OK Part A Provider - Skilled Nursing Facility 6800996240 Practice locations: Calera, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619964756. Details of each certification follow.

Skilled nursing facility certification: CCN 375519

Legal name
CALERA MANOR, LLC
Doing business as
CALERA MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 12, 2007
Last certification
Jan 11, 2024
Beds
82
Ownership / control type
Limited Liability Corporation
Multi-facility organization
LTC Accounting Services
Organization structure
LLCProprietary
Enrollment address
1061 N Service Rd
Calera, OK 74730-1806
Nursing home name
CALERA MANOR
Affiliated entity
BGM ESTATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Calera ManorCCN 375519 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8278.6 residents per day on average
Chain
BGM Estate15 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
37D0656769Calera Manor1061 N Service Rd, Calera, OK 74730Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1505 W Chickasaw Ave
Sallisaw, OK 74955

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Gilbert Green Family Investments LLC Organization, Sallisaw, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 33.33%
Adp of the SNF Dec 12, 2025
Michelle Tindal Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 5.56%
Adp of the SNF Dec 12, 2025
Telissa Norvell Individual Operational/Managerial Control Aug 30, 2024
Keith Sackett Individual Operational/Managerial Control May 10, 2021
Adp of the SNF Nov 25, 2025
Erin Gray Individual Operational/Managerial Control Nov 4, 2024
Stein Ancillary Services, LLC Organization, Fort Smith, AR LLC, Consulting firm Adp of the SNF Nov 1, 2015
Shawna King Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 5.56%
Adp of the SNF Dec 12, 2025
Donna Hutchinson Individual Operational/Managerial Control Dec 29, 2016
Kailee Drennan Individual Operational/Managerial Control Jun 19, 2020
Gwendolyn Chance Individual 5% Or Greater Direct Ownership Interest Dec 28, 2020 16.67%
Adp of the SNF Dec 12, 2025
Melanie Sweeten Individual Operational/Managerial Control Sep 5, 2016
Bryonna Jackson Individual Operational/Managerial Control Dec 15, 2022
Jaci Pitts Individual Corporate OfficerCeo Dec 9, 2024
Mobile Wound Care LLC Organization, Edmond, OK LLC, Consulting firm Adp of the SNF Sep 1, 2014
Sandra Taylor Individual Corporate OfficerDirector of Reimbursement Dec 27, 2020
NS Group Consulting Division Organization, Ridgeland, MS LLC, Consulting firm Adp of the SNF Oct 1, 2024
Miranda Belt Individual Corporate OfficerCfo Dec 9, 2024
Advanced Wound Therapy Organization, Tulsa, OK LLC, Consulting firm Adp of the SNF Nov 1, 2015
Torie McEwing Individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 5.56%
Adp of the SNF Dec 12, 2025
BGM Estate LLC Organization, Sallisaw, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 33.35%
Adp of the SNF Dec 12, 2025
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Jan 1, 2010
Pharmcareok of Durant Inc Organization, Hydro, OK Consulting firm Adp of the SNF Nov 1, 2015
Imran Aaron Michale Plumb Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Riggin Rogers Individual Operational/Managerial Control Jan 17, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 2

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1619964756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N SERVICE RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747301806",
            "telephone_number": "580-434-5727",
            "fax_number": "580-434-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N SERVICE RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747309801",
            "telephone_number": "580-434-5727",
            "fax_number": "580-434-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALERA MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-769-5535"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH0703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calera Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, OK

Sources for this page

Verify at the official NPI Registry.