Beadles, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH7601-7601 Issued in OK

Legal business name

BEADLES, INC.

Doing business as

Beadles Nursing Home

Practice address

916 Noble St
Alva, OK 73717-2852

Phone

(580) 327-1274

Fax

(580) 327-2937

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ruth Hiett, LPN OK #L0010078

Title

Co-Owner

Phone

(580) 327-5309

Specialties & licenses 1

Addresses

Other names 1

• Beadles Nursing Home 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 1205948338. Details of each certification follow.

• CCN 375524 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375524

Legal name

BEADLES, INC.

Doing business as

BEADLES NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 28, 2008

Last certification

Aug 9, 2024

Beds

74

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 12, 1965 in OK

Enrollment address

916 Noble St
Beadles Nursing Home
Alva, OK 73717-2852

Nursing home name

BEADLES NURSING HOME

Listed as

Beadles Nursing HomeCCN 375524 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 28, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7444.2 residents per day on average

Penalties (3 years)

2Fines totaling $14,069

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 8

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

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.

• Adam Jordan, DPH

  • Pharmacist
  • Alva, OK
  • NPI 1861083701
  NPD
• Elizabeth Romanik Kinzie, MD

  • Internal Medicine Physician
  • Waynoka, OK
  • NPI 1760450472
  NPD (past)
• Henry Dean Vaughan, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1629040456
  NPD (past)

Affiliated clinicians 1

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

• Elizabeth Romanik Kinzie, MD

  • Internal Medicine Physician
  • Waynoka, OK
  • NPI 1760450472

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205948338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737170728",
            "telephone_number": "580-327-1274",
            "fax_number": "580-327-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NOBLE ST",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172852",
            "telephone_number": "580-327-1274",
            "fax_number": "580-327-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEADLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "580-327-5309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN OK #L0010078"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7601-7601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beadles Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alva Hospital Authority (Share Medical Center)
• Alva Hospital Authority
• Karmen Ann Andrews, MPC, LPC
• Michelle Baird
• Beadles Operations, LLC (Beadles New Beginnings)
• Brent Michael Bogdanovecz, DC
• Angela Borders
• Cherry Lacreta Bowen, ATC, LAT
• Jeramie Bradford, MOT
• Kaytlin S Brown

• Nursing Facility/Intermediate Care Facility in Alva, OK
• Providers in Alva, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.