Brentwood Extended Care & Rehab. LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRENTWOOD EXTENDED CARE & REHAB. LLC

Practice address

841 N 38TH St
Muskogee, OK 74401-2056

Phone

(918) 683-8070

Fax

(918) 683-8234

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbie Montgomery

Title

Owner

Phone

(918) 683-9407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375174

Legal name

BRENTWOOD EXTENDED CARE & REHAB. LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 15, 1994

Last certification

Mar 25, 2024

Beds

90

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

in OK

Enrollment address

841 N 38TH St
Muskogee, OK 74401-2056

Nursing home name

BRENTWOOD EXTENDED CARE & REHAB

Listed as

Brentwood Extended Care & RehabCCN 375174

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Apr 15, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9055.3 residents per day on average

Penalties (3 years)

9Fines totaling $97,625

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 1

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.

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720161813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 BETTY JANE LN",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031581",
            "telephone_number": "918-683-9407",
            "fax_number": "918-683-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012056",
            "telephone_number": "918-683-8070",
            "fax_number": "918-683-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD EXTENDED CARE & REHAB. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-9407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Harry Brashears, CRNA
• Shayla K Bratcher, REGISTERED NURSE
• Dylan Malachi Brennan
• Sandra Brennan, PLD
• Sequoia Steve Brennan, B.A.
• Craige M Brestel, M.D.
• Megan Courtney Briggs
• Cassandra Brillhart-Green, FNP-C
• Felicia Lauren Brittle
• Dawn Melody Brizendine

• Skilled Nursing Facility in Muskogee, OK
• Providers in Muskogee, 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 Aug 22, 2020; 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.