NPIMap

Organization Active NPI

Security Health Care LLC

Doing business as Grace Living Center - Norman

  • Skilled Nursing Facility
  • Norman, OK
National Provider Identifier
1780789339
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH1410-1410 Issued in OK
Legal business name
SECURITY HEALTH CARE LLC
Doing business as
Grace Living Center - Norman
Grace Skilled Nursing and Therapy Norman
Practice address
201 48TH Ave SW
Norman, OK 73072-4902
Phone
(405) 366-8800
Fax
(405) 366-7854
NPI assigned
Sep 14, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Kristy Deroin
Title
VP of RCM
Phone
(405) 943-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH1410-1410 OK Primary

Addresses

Primary practice location

201 48TH Ave SW
Norman, OK 73072-4902

Mailing address

4554 W. Main Street
Norman, OK 73072-4902
Phone (405) 366-8800

Other identifiers 1

IdentifierTypeStateIssuer
100811410BMedicaidOK

Other names 2

  • GRACE LIVING CENTER - NORMAN Doing business as
  • Grace Skilled Nursing and Therapy Norman 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 OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000961 OK Part A Provider - Skilled Nursing Facility 5092897124 Practice locations: Norman, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780789339. Details of each certification follow.

Skilled nursing facility certification: CCN 375122

Legal name
SECURITY HEALTH CARE LLC
Doing business as
GRACE SKILLED NURSING AND THERAPY NORMAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1992
Last certification
May 16, 2024
Beds
136
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Oct 4, 1995 in OK
Enrollment address
4554 W Main St
Norman, OK 73072-4452
Nursing home name
GRACE SKILLED AND NURSING THERAPY NORMAN
Affiliated entity
BRIDGES HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grace Skilled and Nursing Therapy NormanCCN 375122 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136110.9 residents per day on average
Chain
Bridges Health33 facilities in the chain

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
37D0920973Grace Skilled Nursing and Therapy Norman4554 West Main, Norman, OK 73072Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Locations

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kristy Deroin Individual Contracted Managing EmployeeDirector of Reimbursement Jul 1, 1997
W-2 Managing EmployeeDirector of Reimbursement Jul 1, 1997
Bridges Esop, Inc Organization, Oklahoma City, OK Corporation 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Operational/Managerial Control Dec 31, 2020 100%
Bridges Employee Stock Ownership Trust Organization, Lisle, IL Created for acquisition 5% Or Greater Indirect Ownership Interest Dec 31, 2020 100%
William Brett Coble Individual Corporate OfficerPresident/Manager Dec 31, 2020
Operational/Managerial ControlPresident/Manager Dec 31, 2020

Facilities with the same owner 33

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

View all 33

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 2

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1780789339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 W. MAIN STREET",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724902",
            "telephone_number": "405-366-8800",
            "fax_number": "405-366-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 48TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724902",
            "telephone_number": "405-366-8800",
            "fax_number": "405-366-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DEROIN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "405-943-1144"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH1410-1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811410B",
            "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 SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRACE LIVING CENTER - NORMAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRACE LIVING CENTER - NORMAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Skilled Nursing and Therapy Norman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.