Active NPI
Riverside Health Services LLC
Doing business as Riverside Health Services
- Skilled Nursing Facility
- Arkoma, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH4003-4003
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1999
- Medicare certification status
- Active
- Certified beds
- 56
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2195667 | Riverside Health Services | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gary Hightower | Adp of the SNF | Jan 1, 2025 | |
| Bennie F Cheek | Adp of the SNF | Sep 15, 2025 | |
| Justin Todd Rogers | 5% Or Greater Indirect Ownership Interest | Aug 15, 2016 | 50% |
| Adp of the SNF | Sep 1, 2024 | ||
| Riverside Property Holdings | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Adp of the SNF | Jan 1, 2020 | ||
| Riverside Health Services LLC | 5% Or Greater Direct Ownership Interest | Aug 18, 2016 | 100% |
| 5% Or Greater Security Interest | Aug 18, 2016 | 100% | |
| John E Rogers | 5% Or Greater Indirect Ownership Interest | 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.
-
- Family Medicine Physician
- Muldrow, OK
- NPI 1386634905
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1114459278
-
- Family Medicine Physician
- Spiro, OK
- NPI 1336137728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.