N&R of Chickasha, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

N&R OF CHICKASHA, LLC

Doing business as

Shanoan Springs Residence

Practice address

2500 S 12TH St
Chickasha, OK 73018-6700

Phone

(405) 224-1397

NPI assigned

Jul 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jay H Trumbo

Title

Cfo

Phone

(502) 254-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shanoan Springs Residence Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962780635. Details of each certification follow.

• CCN 375362 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375362

Legal name

N&R OF CHICKASHA, LLC

Doing business as

SHANOAN SPRINGS NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 1, 1999

Last certification

May 30, 2025

Beds

82

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Health Systems of Oklahoma,LLC

Organization structure

LLCProprietary

Incorporated

Sep 21, 2010 in OK

Enrollment address

2500 S 12TH St
Shanoan Springs Nursing and Rehabilitation Center
Chickasha, OK 73018-6700

Nursing home name

SHANOAN SPRINGS NURSING AND REHABILITATION

Listed as

Shanoan Springs Nursing and RehabilitationCCN 375362 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8251.6 residents per day on average

Penalties (3 years)

1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Facilities with the same owner 3

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

• N & R Shawnee LLC

  dba Shawnee Colonial Estates Nursing Home

  • Skilled Nursing Facility
  • Shawnee, OK
  • NPI 1508869033

  Health Systems of Oklahoma, LLC

  CMS ownership
• N& R of Ponca City LLC

  dba Ponca City Nursing and Rehab

  • Skilled Nursing Facility
  • Ponca City, OK
  • NPI 1003815796

  Health Systems of Oklahoma, LLC

  CMS ownership
• N&R of Westhaven L L C

  dba Westhaven Nursing Home

  • Skilled Nursing Facility
  • Stillwater, OK
  • NPI 1912906694

  Health Systems of Oklahoma, LLC

  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.

• Adam Vail Stephens, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1528018942
  NPD (past)

Affiliated clinicians 1

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

• Adam Vail Stephens, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1528018942

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1962780635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 TOWNEPARK CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432348",
            "telephone_number": "502-254-9525",
            "fax_number": "502-954-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S 12TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730186700",
            "telephone_number": "405-224-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N&R OF CHICKASHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TRUMBO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-9525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanoan Springs Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mosley Family Investments LLC (Armor Physical Therapy)
• Mattilyn Reeder Mosley, DPT
• Dewey Mossart
• Charles John Mountain
• Devon Jessica Muncy, PA-C
• Sibin Nair, MD
• Brittany A. C. J. Napoleon, MSN, APRN, FNP-C
• Kindle Dawn Nelms, M.S. CF-SLP
• Andrew Nguyen
• Daisy Nguyen, RPH

• Skilled Nursing Facility in Chickasha, OK
• Providers in Chickasha, 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 Aug 27, 2025; 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.