Organization Active NPI

Riverside Health Services LLC

Doing business as Riverside Health Services

  • Skilled Nursing Facility
  • Arkoma, OK
National Provider Identifier
1942750823
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH4003-4003 Issued in OK
Legal business name
RIVERSIDE HEALTH SERVICES LLC
Doing business as
Riverside Health Services
Practice address
1008 Arkansas Street
Arkoma, OK 74901
Phone
(918) 875-3107
NPI assigned
Oct 4, 2016
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mr. John E Rogers
Title
Member
Phone
(918) 404-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH4003-4003 OK Primary

Addresses

Primary practice location

1008 Arkansas Street
Arkoma, OK 74901

Mailing address

PO Box 749
Warner, OK 74469-0749

Other names 1

  • Riverside Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215000611 OK Part A Provider - Skilled Nursing Facility 7911280052 Practice locations: Arkoma, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942750823. Details of each certification follow.

Skilled nursing facility certification: CCN 375371

Legal name
RIVERSIDE HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1999
Last certification
Feb 6, 2025
Beds
56
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 28, 2015 in OK
Enrollment address
1008 Arkansas St
Arkoma, OK 74901-3548
Nursing home name
RIVERSIDE HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Health ServicesCCN 375371 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5639.6 residents per day on average
Penalties (3 years)
2Fines totaling $89,918

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
37D2195667Riverside Health Services1008 Arkansas St, Arkoma, OK 74901Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Gary Hightower Individual Adp of the SNF Jan 1, 2025
Bennie F Cheek Individual Adp of the SNF Sep 15, 2025
Justin Todd Rogers Individual 5% Or Greater Indirect Ownership InterestSecretary Aug 15, 2016 50%
Adp of the SNF Sep 1, 2024
Riverside Property Holdings Organization, Arkoma, OK Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Adp of the SNF Jan 1, 2020
Riverside Health Services LLC Organization, Arkoma, OK Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 18, 2016 100%
5% Or Greater Security Interest Aug 18, 2016 100%
John E Rogers Individual 5% Or Greater Indirect Ownership InterestManaging Member Sep 1, 2024 50%
Operational/Managerial Control Sep 1, 2024

Owners & managing parties with NPI records 1

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

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1942750823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "WARNER",
            "state": "OK",
            "postal_code": "744690749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 ARKANSAS STREET",
            "city": "ARKOMA",
            "state": "OK",
            "postal_code": "74901",
            "telephone_number": "918-875-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-404-3443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4003-4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkoma, OK

Sources for this page

Verify at the official NPI Registry.