Monroe Manor Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONROE MANOR NURSING, LLC

Practice address

226 E Monroe Ave
Jay, OK 74346-2914

Phone

(918) 919-3276

Fax

(918) 544-6155

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Zvi Rhine

Title

Member

Phone

(918) 919-3276

Specialties & licenses 1

Addresses

Other names 1

• Monroe Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375415

Legal name

MONROE MANOR NURSING, LLC

Doing business as

MONROE MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Sep 15, 2002

Last certification

Aug 14, 2024

Beds

98

Ownership / control type

Limited Liability Corporation

Multi-facility organization

TLC Eretz Management

Most recent change of ownership

Jan 1, 2023

Organization structure

LLCProprietary

Incorporated

Dec 3, 2021 in OK

Enrollment address

226 E Monroe Ave
Jay, OK 74346-2914

Nursing home name

MONROE MANOR

Listed as

Monroe ManorCCN 375415

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 15, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9842.2 residents per day on average

Penalties (3 years)

3Fines totaling $31,773

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Darrell Robert Mease, M.D.

  • Family Medicine Physician
  • Jay, OK
  • NPI 1952377442

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Pine Bluff Nursing, LLC

  • Skilled Nursing Facility
  • Pine Bluff, AR
  • NPI 1225729429

  TLC Eretz Management LLC

  CMS ownership

Practitioners 2

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

• Darrell Robert Mease, M.D.

  • Family Medicine Physician
  • Jay, OK
  • NPI 1952377442
  NPD (past)
• Richard H Tidwell, MD

  • Family Medicine Physician
  • Jay, OK
  • NPI 1346208725
  NPD (past)

Affiliated clinicians 2

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

• Darrell Robert Mease, M.D.

  • Family Medicine Physician
  • Jay, OK
  • NPI 1952377442

  Nursing home

  Care Compare affiliation
• Richard H Tidwell, MD

  • Family Medicine Physician
  • Jay, OK
  • NPI 1346208725

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1720799653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E MONROE AVE",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462914",
            "telephone_number": "918-919-3276",
            "fax_number": "918-544-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E MONROE AVE",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462914",
            "telephone_number": "918-919-3276",
            "fax_number": "918-544-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MANOR NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "RHINE",
        "authorized_official_first_name": "ZVI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-919-3276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mease Medical Corporation
• Darrell Robert Mease, M.D.
• Casey Darrell Merciez
• Chloe Nicole Miller
• Kellsey Miner
• Cathy L Moore, RN
• Abby Lynn Morris
• Brittini Nelson
• Jaylem McKane Newcomb
• Pamela Jean Newkirk, RN

• Skilled Nursing Facility in Jay, OK
• Providers in Jay, 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 Jan 17, 2023; 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.