Pro Health and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRO HEALTH AND REHAB

Practice address

1413 S Chickasaw St
Pauls Valley, OK 73075-6415

Phone

(405) 238-6411

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Layne Smith

Title

Owner

Phone

(405) 238-6411

Specialties & licenses 1

Addresses

Other names 1

• Pauls Valley Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375463

Legal name

PRO HEALTH AND REHAB

Doing business as

PAULS VALLEY HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 15, 2004

Last certification

Apr 18, 2024

Beds

71

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 23, 2020 in OK

Enrollment address

1413 S Chickasaw St
Pauls Valley, OK 73075-6415

Nursing home name

PAULS VALLEY CARE CENTER

Listed as

Pauls Valley Care CenterCCN 375463

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 15, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7136.5 residents per day on average

Penalties (3 years)

3Fines totaling $50,778

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Don Dixson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1790729895
  NPD (past)
• Christopher Fisher, MD

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1306333414
  NPD (past)

Affiliated clinicians 1

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

• Christopher Fisher, MD

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1306333414

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1124744958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744351009",
            "telephone_number": "918-721-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S CHICKASAW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756415",
            "telephone_number": "405-238-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-238-6411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pauls Valley Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda R Polk, PT
• Christine Poteet
• Kodi D Powell
• Lacey R Powers, BSW
• Megan Powers, APRN-CNP
• Professional Home Care of Garvin County Oklahoma Inc
• PTMS 3.O, LLC
• Abdulwali Samad Rahimi, M.D.
• Redeemed and Restored Wellness
• Stuart Reese, PHARMD

• All providers in Pauls Valley, OK
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.