NPIMap

Organization Active NPI

Southwest LTC Tuttle LLC

  • Skilled Nursing Facility
  • Tuttle, OK
National Provider Identifier
1861884348
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHWEST LTC TUTTLE LLC
Practice address
104 SE 4TH St
Tuttle, OK 73089-8825
Phone
(405) 381-3363
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Ronald Payne
Title
Ceo
Phone
(469) 916-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

104 SE 4TH St
Tuttle, OK 73089-8825

Mailing address

1518 Legacy Dr
Suite 110
Frisco, TX 75034-6038
Phone (469) 916-6100

Other identifiers 1

IdentifierTypeStateIssuer
200093870BMedicaidOK

Other names 1

  • Tuttle Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212001513 OK Part A Provider - Skilled Nursing Facility 0143524090 Practice locations: Tuttle, OK

Skilled nursing facility certification: CCN 375428

Legal name
SOUTHWEST LTC TUTTLE LLC
Doing business as
TUTTLE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 11, 2003
Last certification
May 30, 2025
Beds
52
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Southwest LTC
Most recent change of ownership
Dec 1, 2015
Organization structure
LLCProprietary
Enrollment address
104 Southeast 4TH Street
Tuttle, OK 73089-8825
Nursing home name
TUTTLE CARE CENTER
Affiliated entity
SOUTHWEST LTC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tuttle Care CenterCCN 375428
Overall star rating
2 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 11, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5242.0 residents per day on average
Chain
Southwest LTC10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Csra Leasing Oklahoma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Isaac S Dole Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2015 25%
Ronald R Payne Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2015 54.46%
Operational/Managerial ControlCeo Oct 1, 2015 100%
Ronald R Payne PC Organization, Frisco, TX Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2015 54.46%
Operational/Managerial Control Oct 1, 2015 100%
BHCP Ok3 Sponsor, LLC Organization, Chicago, IL LLC 5% Or Greater Direct Ownership Interest Oct 1, 2015 25%
Southwest LTC, LTD Organization, Frisco, TX For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2015 75%
Quality Care Givers Inc Organization, Alexandria, LA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2015 8.99%
Southwest LTC Management Services, LLC Organization, Frisco, TX LLC, For-profit Operational/Managerial Control Dec 1, 2015 100%
Southwest LTC Oklahoma Holdings, LLC Organization, Frisco, TX LLC 5% Or Greater Direct Ownership Interest Oct 1, 2015 75%
Craig H Brashier Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2015 7.13%

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1861884348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 LEGACY DR",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346038",
            "telephone_number": "469-916-6100",
            "fax_number": "469-916-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SE 4TH ST",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898825",
            "telephone_number": "405-381-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LTC TUTTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-916-6100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200093870B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuttle Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuttle, OK

Sources for this page

Verify at the official NPI Registry.