HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB, LLC (NPI# 1376993071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376993071 |
| Entity Type | Organization |
| Organization Name | HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB, LLC |
| Practice Address |
212 N Antes Ave Henryetta OK 74437-7331 |
| Mailing Address |
Po Box 488 Weleetka OK 74880-0488 |
| Practice Telephone | 4057862266 |
| Practice Fax Number | 4057862388 |
| Mailing Telephone | 4057862266 |
| Mailing Fax Number | 4057862388 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | MRS. DONNA RENEE SIMMONS (MANAGING MEMBER) |
| Authorized Official Telephone | 4053806671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH5602 | OK | Nursing & Custodial Care Facilities |
| Street Address |
212 N ANTES AVE |
| City | HENRYETTA |
| State | OK |
| Zip Code | 74437-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272456 | Rachel J Collins | Counselor | 1102 W 7th, Henryetta, OK 74437 | 2020-07-07 |
| 1295232478 | Ahs Henryetta Hospital LLC | Clinic/Center | 2405 W Main St Ste A, Henryetta, OK 74437 | 2018-04-12 |
| 1083124952 | Kelli Stansifer | Counselor | 810 S 4th, Henryetta, OK 74437 | 2017-10-05 |
| 1215277322 | Brenda J Leftwich | Counselor | 501 West Broadway, Henryetta, OK 74437 | 2013-02-26 |
| 1528372018 | Quennie Sue Bessinger | Counselor | 504 West Broadway, Henryetta, OK 74437 | 2010-07-27 |
| 1518155472 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2405 West Main Street, Ste A, Henryetta, OK 74437 | 2007-10-04 |
| 1538373238 | Brenda Druecilla Britt | Technician | 27165 Maiden Lane, Henryetta, OK 74437 | 2007-05-10 |
| 1457572919 | Sharon Marie Williams | Physical Therapy Assistant | 1924 W. Mani St., Henryetta, OK 74437 | 2007-05-01 |
| 1710041009 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 2401 West Main, Henryetta, OK 74437 | 2006-12-20 |
| 1497824742 | Ahs Henryetta Hospital LLC | Psychiatric Unit | Dewey, Bartlett & Main, Henryetta, OK 74437 | 2006-11-08 |
| Find all providers in zip 74437 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960940 | Memory Care Center At Emerald, LLC | Skilled Nursing Facility | 2700 Hickory St, Claremore, OK 74017-1214 | 2018-11-07 |
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1215382734 | Ok4 Ft. Gibson Opco LLC | Skilled Nursing Facility | 205 E Poplar St, Fort Gibson, OK 74434-8272 | 2016-05-03 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1255702791 | Tidwell Family Healthcare, LLC | Skilled Nursing Facility | 1209 W Main St, Quinton, OK 74561 | 2015-10-09 |
| 1033586664 | Colonial Park Manor, LLC | Skilled Nursing Facility | 600 W. Frontage Road, Okemah, OK 74859-6433 | 2015-08-31 |
| 1770963092 | Binger Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 516 North Broadway, Binger, OK 73009-5002 | 2015-06-02 |
| 1467843177 | Summers Health Services, LLC | Skilled Nursing Facility | 119 N. 6th St, Okeene, OK 73763 | 2015-02-17 |
| 1639560337 | Southwest Ltc Temple LLC | Skilled Nursing Facility | 100 West Green Ave, Temple, OK 73568 | 2015-02-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.