Organization Active NPI

PF NHCC SNF Ops, LLC

Doing business as Noble Health Care Center

  • Skilled Nursing Facility
  • Noble, OK
National Provider Identifier
1881674893
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH1414-1414 Issued in OK
Legal business name
PF NHCC SNF OPS, LLC
Doing business as
Noble Health Care Center
Practice address
1501 N 8TH St
Noble, OK 73068-9397
Phone
(405) 872-7102
Fax
(405) 872-4174
NPI assigned
Jan 18, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
James M Chance
Title
Authorized Officer
Phone
(214) 725-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH1414-1414 OK Primary

Addresses

Primary practice location

1501 N 8TH St
Noble, OK 73068-9397

Mailing address

1500 Waters Ridge Dr
Lewisville, TX 75057-6011
Phone (972) 899-4401

Other identifiers 1

IdentifierTypeStateIssuer
100777860AMedicaidOK

Other names 1

  • Noble Health 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
O20210712000425 OK Part A Provider - Skilled Nursing Facility 8921410309 Practice locations: Noble, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881674893. Details of each certification follow.

Skilled nursing facility certification: CCN 375245

Legal name
PF NHCC SNF OPS, LLC
Doing business as
NOBLE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1995
Last certification
Aug 8, 2024
Beds
110
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Stonegate Senior Living
Organization structure
LLCProprietary
Enrollment address
1501 N 8TH St
Noble, OK 73068-9397
Nursing home name
NOBLE HEALTH CARE CENTER
Affiliated entity
STONEGATE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Noble Health Care CenterCCN 375245 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11072.0 residents per day on average
Chain
Stonegate Senior Living24 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
37D0884296Noble Health Care Center1501 N 8TH St, Noble, OK 73068Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Tammy L Swain Individual Adp of the SNF Sep 23, 2025
Oladipo Igbekoyi Individual Adp of the SNF Jun 1, 2025
John P Taylor Individual Operational/Managerial ControlDelegated Official Nov 1, 2020
Lifetime Wellness, LTD. Organization, Tyler, TX Adp of the SNF Sep 23, 2021
Martus Financial Services, Inc. Organization, Justin, TX Corporation, For-profit Adp of the SNF Dec 31, 2023
Rehab Pro LP Organization, Tyler, TX Adp of the SNF Sep 23, 2021
Kasandra Kay West Individual Operational/Managerial Control Feb 17, 2025
Adp of the SNF Feb 17, 2025
James M Chance Individual Operational/Managerial Control Nov 1, 2020
Umb Bank National Association Organization, Dallas, TX Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 23, 2021 100%
Sanctuary LTC, LLC Organization, Lewisville, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 10, 2019 100%
Adp of the SNF Sep 23, 2021
PF NHCC SNF Ops, LLC Organization, Lewisville, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Operational/Managerial Control Nov 1, 2020
Stonegate Senior Living, LP Organization, Lewisville, TX Operational/Managerial Control Jun 22, 2022
Adp of the SNF Nov 21, 2025
Pharmerica Drug Systems LLC Organization, Louisville, KY LLC Adp of the SNF Aug 29, 2017
Preservation Freehold Company Organization, Lewisville, TX Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 10, 2019 100%
Adp of the SNF Sep 23, 2021

Owners & managing parties with NPI records 17

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

View all 17

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1881674893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N 8TH ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689397",
            "telephone_number": "405-872-7102",
            "fax_number": "405-872-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF NHCC SNF OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "214-725-2837"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH1414-1414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Noble Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noble, OK

Sources for this page

Verify at the official NPI Registry.