Town of Vici

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2202-2202 Issued in OK

Legal business name

TOWN OF VICI

Practice address

619 Speck
Vici, OK 73859-0119

Phone

(580) 995-4216

Fax

(580) 995-4237

NPI assigned

Oct 28, 2005

Last updated

Jun 17, 2011By 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

Mr. Michael Aaron Boone, B.S. BUSINESS ADMIN.

Title

Administrator

Phone

(580) 995-4216

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689664716. Details of each certification follow.

• CCN 375545 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375545

Legal name

TOWN OF VICI

Doing business as

TOWN OF VICI NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 7, 2011

Last certification

Apr 9, 2025

Beds

73

Ownership / control type

City/County

Organization structure

GovernmentProprietary

Incorporated

Aug 13, 1990 in OK

Enrollment address

619 Speck
Town of Vici Nursing Home
Vici, OK 73859-0119

Nursing home name

TOWN OF VICI NURSING HOME

Listed as

Town of Vici Nursing HomeCCN 375545 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Government - City/county

Certified

Aug 7, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7339.0 residents per day on average

Penalties (3 years)

2Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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.

• John D Sutton, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodward, OK
  • NPI 1184739765
  NPD (past)

Affiliated clinicians 1

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

• John D Sutton, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodward, OK
  • NPI 1184739765

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1689664716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SPECK",
            "address_2": "PO BOX 119",
            "city": "VICI",
            "state": "OK",
            "postal_code": "738590119",
            "telephone_number": "580-995-4216",
            "fax_number": "580-995-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SPECK",
            "city": "VICI",
            "state": "OK",
            "postal_code": "738590119",
            "telephone_number": "580-995-4216",
            "fax_number": "580-995-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF VICI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-995-4216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S. BUSINESS ADMIN."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH2202-2202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10077838A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Stanford Hesler, PHARM.D.
• Leslie Clinic Inc.
• Seiling Municipal Hospital Authority (Vici Clinic)
• Texoma Medical Services Inc (Western Drug #3)
• Texoma Medical Services, Inc.
• Vici - Camargo EMS
• Vici Public School
• Vici-Camargo EMS

• Skilled Nursing Facility in Vici, OK
• Providers in Vici, 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 Jun 17, 2011; 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.