NPIMap

Organization Active NPI

Del City Nursing Center, LLC

Doing business as Grace Living Center - del City

  • Skilled Nursing Facility
  • Del City, OK
National Provider Identifier
1659476471
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH5510-5510 Issued in OK
Legal business name
DEL CITY NURSING CENTER, LLC
Doing business as
Grace Living Center - del City
Mid Del
Practice address
400 S Scott St
Del City, OK 73115-1014
Phone
(405) 677-3349
Fax
(405) 677-4386
NPI assigned
Sep 14, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Kristy Deroin
Title
Director of Reimbursement
Phone
(405) 943-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH5510-5510 OK Primary

Addresses

Primary practice location

400 S Scott St
Del City, OK 73115-1014

Mailing address

400 S Scott St
Del City, OK 73115-1014
Phone (405) 677-3349

Other identifiers 1

IdentifierTypeStateIssuer
100776750AMedicaidOK

Other names 2

  • GRACE LIVING CENTER - DEL CITY Doing business as
  • Mid Del Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190905001595 OK Part A Provider - Skilled Nursing Facility 9032028204 Practice locations: Del City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659476471. Details of each certification follow.

Skilled nursing facility certification: CCN 375186

Legal name
DEL CITY NURSING CENTER LLC
Doing business as
MID-DEL SKILLED NURSING AND THERAPY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1994
Last certification
Mar 20, 2025
Beds
61
Ownership / control type
Partnership
Most recent change of ownership
Jun 30, 2019
Organization structure
LLCProprietary
Enrollment address
400 S Scott St
Del City, OK 73115-1014
Nursing home name
MID-DEL SKILLED NURSING AND THERAPY
Affiliated entity
BRIDGES HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mid-del Skilled Nursing and TherapyCCN 375186 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6141.8 residents per day on average
Chain
Bridges Health33 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
37D0665908Mid-del Skilled Nursing and Therapy400 S Scott St, Del City, OK 73115Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kristy Deroin Individual W-2 Managing EmployeeDirector of Reimbursement Jun 30, 2019
Bridges Esop, Inc Organization, Oklahoma City, OK Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Operational/Managerial Control Dec 31, 2020 100%
Bridges Employee Stock Ownership Trust Organization, Lisle, IL Created for acquisition 5% Or Greater Indirect Ownership Interest Dec 31, 2020 100%
William Brett Coble Individual Corporate OfficerPresident Dec 31, 2020
Operational/Managerial ControlPresident Dec 31, 2020

Facilities with the same owner 33

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

View all 33

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.

Affiliated clinicians 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1659476471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SCOTT ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151014",
            "telephone_number": "405-677-3349",
            "fax_number": "405-677-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SCOTT ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151014",
            "telephone_number": "405-677-3349",
            "fax_number": "405-677-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL CITY NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "DEROIN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "405-943-1144"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5510-5510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100776750A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRACE LIVING CENTER - DEL CITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Del",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.