NPIMap

Organization Active NPI

Antlers Manor LLC

Doing business as Antlers Manor

  • Skilled Nursing Facility
  • Antlers, OK
National Provider Identifier
1922095009
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH-6401 Issued in OK
Legal business name
ANTLERS MANOR LLC
Doing business as
Antlers Manor
Practice address
511 E Main St
Antlers, OK 74523-3217
Phone
(580) 298-3294
Fax
(580) 298-5885
NPI assigned
Oct 4, 2005
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Michael Brandon MorganNPI 1679937981
Title
President
Phone
(479) 769-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH-6401 OK Primary

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 1

  • Antlers Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000810 OK Part A Provider - Skilled Nursing Facility 4981870649 Practice locations: Antlers, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922095009. Details of each certification follow.

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
LLCProprietary
Enrollment address
511 E Main St
Antlers, OK 74523-3217
Nursing home name
ANTLERS MANOR
Affiliated entity
BGM ESTATE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Antlers ManorCCN 375313 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
13335.6 residents per day on average
Chain
BGM Estate15 facilities in the chain
Penalties (3 years)
1Fines totaling $13,070

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
37D2326723Antlers Manor511 E Main Street, Antlers, OK 74523Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

507 E Main St
Antlers, OK 74523

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Marcinda Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Adp of the SNF Dec 12, 2025
Gilbert Green Family Investments LLC Organization, Sallisaw, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 29, 2020 50%
Adp of the SNF Dec 12, 2025
Robert Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Adp of the SNF Dec 12, 2025
Stein Ancillary Services, LLC Organization, Fort Smith, AR LLC Adp of the SNF Sep 1, 2014
Misty Harjo Individual Operational/Managerial Control Oct 24, 2024
Shannon Ray Individual Operational/Managerial Control Dec 3, 2024
Adp of the SNF Nov 25, 2025
Teddy R Rowland Individual Operational/Managerial Control Jan 1, 1995
Adp of the SNF Jan 1, 1995
Melton Ben Individual Operational/Managerial Control Aug 13, 2008
Tiffany Seay Exempt TR Organization, Fort Smith, AR Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 15.2%
Ester Dickinson Individual Operational/Managerial Control Jul 24, 2017
Jaci Pitts Individual Corporate OfficerCeo Dec 9, 2024
Mobile Wound Care LLC Organization, Edmond, OK LLC Adp of the SNF Jan 1, 2025
Sandra Taylor Individual Corporate OfficerDirector of Reimbursement Dec 27, 2020
NS Group Consulting Division Organization, Ridgeland, MS LLC Adp of the SNF Nov 1, 2024
Candy Shell Individual Operational/Managerial Control Jan 17, 2025
Miranda Belt Individual Corporate OfficerCfo Dec 9, 2024
Advanced Wound Therapy Organization, Tulsa, OK LLC Adp of the SNF Nov 1, 2024
Philip M. Green Revocable Trust Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 5.55%
BGM Estate LLC Organization, Sallisaw, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2025 50%
Adp of the SNF Dec 12, 2025
Forvis Mazars LLP Organization, Springfield, MO For-profit Adp of the SNF Jan 1, 2010
Pharmcareok of Durant Inc Organization, Hydro, OK Corporation Adp of the SNF Jan 1, 2025
Tiffany Seay Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 5.55%
Adp of the SNF Dec 12, 2025
Kelly Mitchell Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 12.5%
Adp of the SNF Dec 12, 2025
Angela Tabor Individual 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 Organization, Sallisaw, OK Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2025 18.35%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 14

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

View all 14

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 3

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1922095009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E MAIN ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233217",
            "telephone_number": "580-298-3294",
            "fax_number": "580-298-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E MAIN ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233217",
            "telephone_number": "580-298-3294",
            "fax_number": "580-298-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTLERS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-769-5535"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH-6401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antlers Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antlers, OK

Sources for this page

Verify at the official NPI Registry.