Phoenix Healthcare LLC
Organization Active NPI Skilled Nursing Facility · Oklahoma City, OK
NPI 1891700761 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1891700761
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH5519-5519 (OK)
- Legal business name
- PHOENIX HEALTHCARE LLC
- Practice address
- 5701 W Britton Rd
Oklahoma City, OK 73132-2402 - Phone
- (405) 773-8900
- Fax
- (405) 720-5825
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Chrystal West
- Title
- Business Office
- Phone
- (918) 743-3638
Owners & managing parties with NPI records 6
-
Terry Hermance, MD
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Facilities with the same owner 87
Practitioners 1
-
Terry Hermance, MD
Medicare Care Compare: Nursing home
- Listed as
- The Lakes
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 13, 2001
- Medicare certification status
- Active
- Certified beds
- 120 · 77.6 residents per day on average
- Chain
- Phoenix Healthcare
- Penalties (3 years)
- 3 · fines totaling $19,073
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 375396
- Legal name
- PHOENIX HEALTHCARE LLC
- Doing business as
- THE LAKES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 13, 2001
- Last certification
- Nov 21, 2024
- Beds
- 120
- Ownership / control type
- Individual
- Multi-facility organization
- Pheonix Healthcare, LLC
- Most recent change of ownership
- Nov 1, 2004
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 29, 2004 in OK
- Enrollment address
- 5701 W Britton Rd
Oklahoma City, OK 73132-2402 - Nursing home name
- THE LAKES
- Affiliated entity
- PHOENIX HEALTHCARE
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Sep 1, 2023 | |
| Midwest Land & Investment Company |
Adp of the SNF | Nov 1, 2005 | |
| |
Adp of the SNF | Nov 1, 2005 | |
| Phoenix Rehab LLC |
Operational/Managerial Control | Sep 29, 2004 | |
| Terry C Hermance |
Operational/Managerial Control | May 22, 2023 | |
| Adp of the SNF | Jul 11, 2025 | ||
| Cathy Young |
Operational/Managerial Control | Apr 24, 2009 | |
| Adp of the SNF | Apr 24, 2009 | ||
| |
Adp of the SNF | Oct 4, 2021 | |
| Judy Jay |
Operational/Managerial Control | Apr 5, 2022 | |
| Adp of the SNF | Jul 10, 2025 | ||
| |
Adp of the SNF | Dec 9, 2024 | |
| |
Adp of the SNF | Nov 7, 2022 | |
| |
Adp of the SNF | Nov 1, 2023 | |
| |
Adp of the SNF | May 30, 2013 | |
| |
Adp of the SNF | Jul 10, 2025 | |
| Shanna Floyd |
Operational/Managerial Control | Jun 14, 2010 | |
| Adp of the SNF | Jun 14, 2010 | ||
| |
Adp of the SNF | Sep 3, 2024 | |
| |
Adp of the SNF | Oct 14, 2004 | |
| Phoenix Healthcare LLC |
5% Or Greater Direct Ownership Interest | Sep 29, 2004 | 100% |
| Operational/Managerial Control | Sep 29, 2004 | 100% | |
| Adp of the SNF | Jul 10, 2025 | ||
| |
Adp of the SNF | Dec 19, 2018 | |
| Forvis Mazars LLP |
Operational/Managerial Control | Oct 14, 2004 | |
| Adp of the SNF | Jul 10, 2025 | ||
| |
Adp of the SNF | Jan 1, 2023 | |
| Heather Moxley |
Operational/Managerial Control | Sep 1, 2024 | |
| |
Adp of the SNF | Nov 1, 2005 | |
| Larry Cain |
5% Or Greater Direct Ownership Interest |
Sep 29, 2004 | 100% |
| |
Adp of the SNF | Feb 12, 2024 | |
| |
Adp of the SNF | Nov 13, 2009 | |
| |
Adp of the SNF | Feb 6, 2023 | |
| |
Adp of the SNF | Nov 1, 2005 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Green Country Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 29, 2004 Sep 29, 2004 Jul 23, 2025 |
| Phoenix Healthcare LLC |
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 Gardens |
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 LLC |
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 |
| South Park East |
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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050516000062 | TX | Part a Provider - Skilled Nursing Facility | 6507818242 | Practice locations: Oklahoma City, OK |
National Provider Directory
- Tax ID family
- Phoenix Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH5519-5519 | OK | Yes |
Addresses
Primary practice location
5701 W Britton Rd
Oklahoma City, OK 73132-2402
Mailing address
5701 W Britton Rd
Oklahoma City, OK 73132-2402
Phone (405) 773-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040930G | Medicaid | OK |
Other names
- The Lakes Care Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Oklahoma City, OK
- Gina Phillis
- Kimmie Phisaiwath
- Anhkim Pho
- Phoenix Center for Pastoral Counseling
- Phoenix Health Care LLC
- Phoenix Physician Services Inc
- Phoenix Warrior Services LLC
- PHP Ok PC
- Vinh Phung
- Phycility LLC
All providers in Oklahoma City, 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 14, 2026. 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.