OrganizationActive
Scg Madill Brookside LLC
NPI 1699764100 · Skilled Nursing Facility · Madill, OK
Scg Madill Brookside LLC is a Skilled Nursing Facility organization in Madill, OK (NPI 1699764100).
Provider details
- NPI number
- 1699764100
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Goyer, President(813) 341-2700
- License
- NH4801-4801 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 Brookside Dr
Highway 377
Madill, OK 73446-9047
Phone: (580) 795-2100
Fax: (580) 677-9918
Street-level locationGet directions
Mailing address
1240 Marbella Plaza Dr.
Tampa, FL 33619-7905
Other names (DBA / former)
- Doing business as
- Brookside Nursing Center
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2014-07-17
Frequently asked questions
- What is Scg Madill Brookside LLC's NPI number?
- Scg Madill Brookside LLC's National Provider Identifier (NPI) is 1699764100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scg Madill Brookside LLC?
- Scg Madill Brookside LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Scg Madill Brookside LLC located?
- Scg Madill Brookside LLC's practice location on file with NPPES is 310 Brookside Dr, Madill, OK 73446-9047.
- What is Scg Madill Brookside LLC's phone number?
- The practice phone number listed in the NPPES registry for Scg Madill Brookside LLC is (580) 795-2100.
- Who is the authorized official for Scg Madill Brookside LLC?
- The authorized official listed on Scg Madill Brookside LLC's NPPES record is Kevin Goyer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scg Madill Brookside LLC's NPI active?
- Yes — Scg Madill Brookside LLC's NPI (1699764100) is active in the NPPES registry as of the last update on 2014-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.