Organization Active NPI

Clinton Therapy & Living Center, LLC

  • Skilled Nursing Facility
  • Clinton, OK
National Provider Identifier
1669985305
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLINTON THERAPY & LIVING CENTER, LLC
Practice address
2316 W Modelle Ave
Clinton, OK 73601-3722
Phone
(580) 323-0912
Fax
(580) 323-4935
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Mr. Michael Brandon Morgan
Title
Ceo
Phone
(479) 769-5535

Specialties & licenses 1

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

Addresses

Primary practice location

2316 W Modelle Ave
Clinton, OK 73601-3722

Mailing address

2316 W Modelle Ave
Clinton, OK 73601-3722
Phone (580) 323-0912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104000507 OK Part A Provider - Skilled Nursing Facility 9335408921 Practice locations: Clinton, OK

Skilled nursing facility certification: CCN 375253

Legal name
CLINTON THERAPY & LIVING CENTER, LLC
Doing business as
CLINTON THERAPY & LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1996
Last certification
Jun 5, 2025
Beds
101
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2017
Organization structure
LLCProprietary
Enrollment address
2316 W Modelle Ave
Clinton, OK 73601-3722
Nursing home name
CLINTON THERAPY & LIVING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Clinton Therapy & Living CenterCCN 375253
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10134.2 residents per day on average
Penalties (3 years)
12Fines totaling $211,014

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
KTFW-Ok, LLC Organization, Fort Smith, AR LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 1, 2017 100%
Adp of the SNF Dec 1, 2017
Lisa Childree Individual Operational/Managerial Control Oct 2, 2023
Adp of the SNF Oct 2, 2023
Joshua a Kilgore Individual 5% Or Greater Direct Ownership InterestCourt Appointed Receiver Jan 26, 2024 100%
Operational/Managerial Control Dec 1, 2014
Drew K Cooper Individual Adp of the SNF Dec 1, 2017
2316WM LLC Organization, Fort Smith, AR LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 1, 2017 100%
Adp of the SNF Dec 1, 2017
Kilgore Family Trust-2012 Organization, Fort Smith, AR 5% Or Greater Mortgage Interest Dec 1, 2017 100%
Adp of the SNF Dec 1, 2017

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1669985305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 W MODELLE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013722",
            "telephone_number": "580-323-0912",
            "fax_number": "580-323-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W MODELLE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013722",
            "telephone_number": "580-323-0912",
            "fax_number": "580-323-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON THERAPY & LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-769-5535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.