NPIMap

Organization Active NPI

Phoenix Healthcare LLC

Doing business as Green Country Care Center

  • Skilled Nursing Facility
  • Tulsa, OK
National Provider Identifier
1740296490
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH7204 Issued in OK
Legal business name
PHOENIX HEALTHCARE LLC
Doing business as
Green Country Care Center
Practice address
3601 N Columbia Ave
Tulsa, OK 74110-1232
Phone
(918) 428-3600
NPI assigned
Aug 1, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Ms. Chrystal West
Title
Business Office
Phone
(918) 743-3638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH7204 OK Primary

Addresses

Primary practice location

3601 N Columbia Ave
Tulsa, OK 74110-1232

Mailing address

3601 N Columbia Ave
Tulsa, OK 74110-1232
Phone (918) 428-3600

Other identifiers 1

IdentifierTypeStateIssuer
20040930BMedicaidOK

Other names 1

  • Green Country Care Center 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 TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000312 TX Part A Provider - Skilled Nursing Facility 6507818242 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740296490. Details of each certification follow.

Skilled nursing facility certification: CCN 375421

Legal name
PHOENIX HEALTHCARE LLC
Doing business as
GREEN COUNTRY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2003
Last certification
Nov 15, 2024
Beds
114
Ownership / control type
Corporation
Multi-facility organization
Phoenix Healthcare
Most recent change of ownership
Nov 1, 2004
Organization structure
LLCProprietary
Enrollment address
3601 N Columbia Ave
Tulsa, OK 74110-1232
Nursing home name
GREEN COUNTRY CARE CENTER
Affiliated entity
PHOENIX HEALTHCARE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Green Country Care CenterCCN 375421 · All quality measures
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 - Corporation
Certified
Jan 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11476.7 residents per day on average
Chain
Phoenix Healthcare6 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

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
37D0859788Green Country Care Center3601 N Columbia Ave, Tulsa, OK 74110Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Healthcare LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Individual Adp of the SNF Jan 13, 2025
Individual Adp of the SNF Nov 7, 2022
Midwest Land & Investment Company Organization, Tulsa, OK Corporation Adp of the SNF Nov 1, 2005
Individual Adp of the SNF Nov 1, 2023
Individual Adp of the SNF Jul 17, 2023
Phoenix Rehab LLC Organization, Tulsa, OK LLC, Medical provider/supplier Operational/Managerial Control Sep 29, 2004
Cathy Young Individual Operational/Managerial Control Apr 24, 2009
Adp of the SNF Apr 24, 2009
Shlynda Jamison Individual Operational/Managerial Control May 12, 2011
Individual Adp of the SNF Oct 14, 2004
Individual Adp of the SNF Apr 4, 2023
Jerry Cliff Individual Operational/Managerial Control Jul 29, 2024
Adp of the SNF Jul 23, 2025
Individual Adp of the SNF Nov 1, 2005
Individual Adp of the SNF Jan 17, 2017
Shanna Floyd Individual Operational/Managerial Control Jun 14, 2010
Adp of the SNF Jun 14, 2010
Individual Adp of the SNF Aug 11, 2008
Individual Adp of the SNF Nov 13, 2009
Individual Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Nov 1, 2005
Phoenix Healthcare LLC Organization, Tulsa, OK Created for acquisition, LLC, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 29, 2004 100%
Operational/Managerial Control Sep 29, 2004
Adp of the SNF Jul 23, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Oct 14, 2004
Adp of the SNF Jul 23, 2025
Robert C Harris Individual Operational/Managerial Control Jul 1, 2016
Adp of the SNF Jul 23, 2025
Individual Adp of the SNF Feb 6, 2023
Organization, Tulsa, OK LLC Adp of the SNF Jul 23, 2025
Larry Cain Individual 5% Or Greater Direct Ownership InterestReceiver Sep 29, 2004 100%
Individual Adp of the SNF Sep 1, 2023
Individual Adp of the SNF Nov 1, 2005
Individual Adp of the SNF Nov 3, 2023

Owners & managing parties with NPI records 6

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

  • Robert C Harris, M.D,
    • Internal Medicine Physician
    • Tulsa, OK
    • NPI 1528061652

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Health Care LLC

    dba South Park East

    • Alzheimer Center (Dementia Center)
    • Oklahoma City, OK
    • NPI 1972518835

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Health Care, LLC

    dba Southern Oaks

    • Skilled Nursing Facility
    • Pawnee, OK
    • NPI 1710992250

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba Grove Nursing Center

    • Nursing Facility/Intermediate Care Facility
    • Grove, OK
    • NPI 1356454094

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba The Gardens

    • Nursing Facility/Intermediate Care Facility
    • Sapulpa, OK
    • NPI 1780694711

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba The Lakes Care Center

    • Skilled Nursing Facility
    • Oklahoma City, OK
    • NPI 1891700761

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoenix Healthcare LLCGrove, OK, CCN 375366 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 29, 2004
Sep 29, 2004
Jun 27, 2025
The GardensSapulpa, OK, CCN 375408 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 29, 2004
Sep 29, 2004
Jul 18, 2025
Phoenix Healthcare LLCPawnee, OK, CCN 375378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 29, 2004
Sep 29, 2004
Aug 26, 2025
The LakesOklahoma City, OK, CCN 375396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Sep 29, 2004
Sep 29, 2004
Jul 10, 2025
South Park EastOklahoma City, OK, CCN 375452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 29, 2004
Sep 29, 2004
Jul 15, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Phoenix Health Care LLC

    dba South Park East

    • Alzheimer Center (Dementia Center)
    • Oklahoma City, OK
    • NPI 1972518835

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Health Care, LLC

    dba Southern Oaks

    • Skilled Nursing Facility
    • Pawnee, OK
    • NPI 1710992250

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba Grove Nursing Center

    • Nursing Facility/Intermediate Care Facility
    • Grove, OK
    • NPI 1356454094

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba The Gardens

    • Nursing Facility/Intermediate Care Facility
    • Sapulpa, OK
    • NPI 1780694711

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Phoenix Healthcare LLC

    dba The Lakes Care Center

    • Skilled Nursing Facility
    • Oklahoma City, OK
    • NPI 1891700761

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 87

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

View all 87

Practitioners & affiliated clinicians

Practitioners 2

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 4

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1740296490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N COLUMBIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741101232",
            "telephone_number": "918-428-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N COLUMBIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741101232",
            "telephone_number": "918-428-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "918-743-3638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20040930B",
            "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 Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green Country Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.