BBHR Opco, LLC
Organization Active NPI Skilled Nursing Facility · Broken Bow, OK
NPI 1760128953 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1760128953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BBHR OPCO, LLC
- Practice address
- 700 Jones St
Broken Bow, OK 74728-5304 - Phone
- (580) 584-6433
- NPI assigned
- May 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Larry Snow
- Title
- Ceo
- Phone
- (918) 622-4799
Owners & managing parties with NPI records 1
-
Arthur Wayne Pearson III, M.D.
Facilities with the same owner 5
Affiliated clinicians 1
-
Arthur Wayne Pearson III, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Broken Bow Health and Rehab
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Apr 1, 1994
- Medicare certification status
- Active
- Certified beds
- 105 · 63.2 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $21,828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375165
- Legal name
- BBHR OPCO, LLC
- Doing business as
- BROKEN BOW HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1994
- Last certification
- Dec 12, 2024
- Beds
- 105
- Ownership / control type
- Partnership
- Multi-facility organization
- Image Strategic Partners
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 20, 2021 in OK
- Enrollment address
- 700 West Jones
Broken Bow, OK 74728-5304 - Nursing home name
- BROKEN BOW HEALTH AND REHAB
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Snow Family Trust Dated June 29, 2012 |
5% Or Greater Direct Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Jeffrey W Young Revocable Trust Dated July 27, 2017 |
5% Or Greater Direct Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Larry L Snow |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 12.5% |
| Corporate Officer |
May 1, 2022 | ||
| Operational/Managerial Control | May 1, 2022 | ||
| Adp of the SNF | May 1, 2022 | ||
| Jonathan Rhodes |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Matrix Provider Solutions LLC |
Operational/Managerial Control | Dec 27, 2024 | |
| Adp of the SNF | Jan 8, 2025 | ||
| BBHR Propco, LLC |
Adp of the SNF | May 1, 2022 | |
| Bridgette Young |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 12.5% |
| Adp of the SNF | May 1, 2022 | ||
| Arthur W Pearson |
Adp of the SNF | May 1, 2022 | |
| Bedlam Properties Ho LLC |
Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | Feb 22, 2025 | ||
| Grant Rhodes Revocable Trust Dated January 30, 2018 |
5% Or Greater Direct Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Jack L Byers Revocable Trust Dated January 26, 2017 |
5% Or Greater Direct Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Jeffrey W Young |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 12.5% |
| Adp of the SNF | May 1, 2017 | ||
| Jack Byers |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Audrey Snow |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 12.5% |
| Adp of the SNF | May 1, 2022 | ||
| Kevin Williams |
Operational/Managerial Control | Jul 11, 2022 | |
| Adp of the SNF | Jul 11, 2022 | ||
| Mark a Lietzke |
Operational/Managerial Control | Dec 27, 2024 | |
| Adp of the SNF | Dec 27, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220830002690 | OK | Part a Provider - Skilled Nursing Facility | 6305220039 | Practice locations: Broken Bow, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
700 Jones St
Broken Bow, OK 74728-5304
Mailing address
1805 E 15TH St
Tulsa, OK 74104-4610
Phone (918) 622-4799
Other names
- Broken Bow Health and Rehab
Other providers in Broken Bow, OK
- Courtney Axton
- Joyce Baker
- Erin Janine Bartlett
- Battles Broken Bow Family Clinic, LLC
- Leslie Orr Battles
- Black Oak Clinic LLC
- Megan Elizabeth Black
- Tonya Joy Boles
- Jade Chantelle Box
- Brighter Heights Oklahoma, LLC
All providers in Broken Bow, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.