Antlers Manor LLC
Organization Active NPI Skilled Nursing Facility · Antlers, OK
NPI 1922095009 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1922095009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH-6401 (OK)
- Legal business name
- ANTLERS MANOR LLC
- Practice address
- 511 E Main St
Antlers, OK 74523-3217 - Phone
- (580) 298-3294
- Fax
- (580) 298-5885
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Brandon Morgan
- Title
- President
- Phone
- (479) 769-5535
Owners & managing parties with NPI records 6
Facilities with the same owner 14
Practitioners 2
Affiliated clinicians 3
-
Michael J Irvin, D.O
Medicare Care Compare: Nursing home
- Listed as
- Antlers Manor
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 7, 1997
- Medicare certification status
- Active
- Certified beds
- 133 · 35.6 residents per day on average
- Chain
- BGM Estate
- Penalties (3 years)
- 1 · fines totaling $13,070
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2326723 | Antlers Manor | Certificate of waiver | Jul 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375313
- Legal name
- ANTLERS MANOR LLC
- Doing business as
- ANTLERS MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 7, 1997
- Last certification
- Mar 6, 2025
- Beds
- 133
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- LTC Accounting Services
- Most recent change of ownership
- Jun 30, 2017
- Organization structure
- LLC · Proprietary
- Enrollment address
- 511 E Main St
Antlers, OK 74523-3217 - Nursing home name
- ANTLERS MANOR
- Affiliated entity
- BGM ESTATE
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| Marcinda Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Adp of the SNF | Dec 12, 2025 | ||
| Gilbert Green Family Investments LLC |
5% Or Greater Direct Ownership Interest | Dec 29, 2020 | 50% |
| Adp of the SNF | Dec 12, 2025 | ||
| Robert Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Adp of the SNF | Dec 12, 2025 | ||
| Stein Ancillary Services, LLC |
Adp of the SNF | Sep 1, 2014 | |
| Misty Harjo |
Operational/Managerial Control | Oct 24, 2024 | |
| Shannon Ray |
Operational/Managerial Control | Dec 3, 2024 | |
| Adp of the SNF | Nov 25, 2025 | ||
| Teddy R Rowland |
Operational/Managerial Control | Jan 1, 1995 | |
| Adp of the SNF | Jan 1, 1995 | ||
| Melton Ben |
Operational/Managerial Control | Aug 13, 2008 | |
| Tiffany Seay Exempt TR |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 15.2% |
| Ester Dickinson |
Operational/Managerial Control | Jul 24, 2017 | |
| Jaci Pitts |
Corporate Officer |
Dec 9, 2024 | |
| Mobile Wound Care LLC |
Adp of the SNF | Jan 1, 2025 | |
| Sandra Taylor |
Corporate Officer |
Dec 27, 2020 | |
| NS Group Consulting Division |
Adp of the SNF | Nov 1, 2024 | |
| Candy Shell |
Operational/Managerial Control | Jan 17, 2025 | |
| Miranda Belt |
Corporate Officer |
Dec 9, 2024 | |
| Advanced Wound Therapy |
Adp of the SNF | Nov 1, 2024 | |
| Philip M. Green Revocable Trust |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 5.55% |
| BGM Estate LLC |
5% Or Greater Direct Ownership Interest | Dec 12, 2025 | 50% |
| Adp of the SNF | Dec 12, 2025 | ||
| Forvis Mazars LLP |
Adp of the SNF | Jan 1, 2010 | |
| Pharmcareok of Durant Inc |
Adp of the SNF | Jan 1, 2025 | |
| Tiffany Seay |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 5.55% |
| Adp of the SNF | Dec 12, 2025 | ||
| Kelly Mitchell |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Adp of the SNF | Dec 12, 2025 | ||
| Angela Tabor |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 12.5% |
| Adp of the SNF | Dec 12, 2025 | ||
| Philip Marion Green Exempt TR Cu Gilbert F Green TR |
5% Or Greater Indirect Ownership Interest | Dec 12, 2025 | 18.35% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210401000810 | OK | Part a Provider - Skilled Nursing Facility | 4981870649 | Practice locations: Antlers, OK |
National Provider Directory
Locations
507 E Main St
Antlers, OK 74523
511 E Main St
Antlers, OK 74523
Phone (580) 298-3294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH-6401 | OK | Yes |
Addresses
Primary practice location
511 E Main St
Antlers, OK 74523-3217
Mailing address
511 E Main St
Antlers, OK 74523-3217
Phone (580) 298-3294
Other names
- Antlers Manor
Other providers in Antlers, OK
- John Joseph Aguirre
- Sierra Hurley Allen
- Patti Lynn Allensworth
- Karla Lea Ammons
- Antlers Family Dentist PC
- Antlers Public Schools
- Bailey Tennessee Armstrong
- Marcia Leigh Armstrong
- Lisa Austin
- Tracy Ann Bailey
All providers in Antlers, 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 Mar 18, 2021. 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.