Pleasant Valley Health Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH51095109 Issued in OK

Legal business name

PLEASANT VALLEY HEALTH CARE CENTER, INC

Practice address

1120 Illinois St
Muskogee, OK 74403-7411

Phone

(918) 682-5391

Fax

(918) 684-3295

NPI assigned

Sep 28, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danny Nevitt

Title

Administrator

Phone

(918) 682-5391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922190008. Details of each certification follow.

• CCN 375451 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375451

Legal name

PLEASANT VALLEY HEALTH CARE CENTER, INC

Doing business as

PLEASANT VALLEY HEALTH CARE CENTER,

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 4, 2004

Last certification

Aug 20, 2024

Beds

101

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 1, 1976 in OK

Enrollment address

1120 Illinois Street
Pleasant Valley Health Care Center, Inc
Muskogee, OK 74403-7411

Nursing home name

PLEASANT VALLEY HEALTH CARE CENTER

Listed as

Pleasant Valley Health Care CenterCCN 375451 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 4, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10178.2 residents per day on average

Penalties (3 years)

1Fines totaling $20,049

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709

  Adp of the SNF

  CMS ownership

Practitioners 1

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.

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709

  Nursing home

  Care Compare affiliation
• Gary William Lambert, DO

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1619068715

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1922190008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ILLINOIS ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744037411",
            "telephone_number": "918-682-5391",
            "fax_number": "918-684-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ILLINOIS ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744037411",
            "telephone_number": "918-682-5391",
            "fax_number": "918-684-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "NEVITT",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-682-5391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH51095109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100774600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Louise Pitts, PHARMD
• Joanie Pitts
• PK Imaging Center
• PK Xray Inc
• Platte Dialysis LLC (Muskogee Community Dialysis Center)
• Haley Elaine Poffel
• Chandrasekhar Polepalle, MD
• Lauren Polumbus
• Vicki Poole
• Carmen Alina Popescu, RN

• Skilled Nursing Facility in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.