FCC of Kingston LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH4802-4802 Issued in OK

Legal business name

FCC OF KINGSTON LLC

Practice address

701 Highway 32
Kingston, OK 73439-8073

Phone

(580) 564-2216

Fax

(580) 564-2298

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Joe Scearce

Title

Managing Member

Phone

(405) 905-9133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375437

Legal name

FCC OF KINGSTON LLC

Doing business as

FAMILY CARE CENTER OF KINGSTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 14, 2003

Last certification

Mar 22, 2024

Beds

60

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

in OK

Enrollment address

701 Highway 32
Family Care Center of Kingston
Kingston, OK 73439-8073

Nursing home name

FAMILY CARE CENTER OF KINGSTON

Listed as

Family Care Center of KingstonCCN 375437

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 14, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6032.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Audra C Scearce, D.O.

  • Psychiatry Physician
  • Norman, OK
  • NPI 1588761555

  5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest, Corporate Officer, Limited Partnership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Clifford David Garvin, M.D.

  • Specialist
  • Denison, TX
  • NPI 1528095502
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1306198932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 32",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398073",
            "telephone_number": "580-564-2216",
            "fax_number": "580-564-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 32",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398073",
            "telephone_number": "580-564-2216",
            "fax_number": "580-564-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCC OF KINGSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SCEARCE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-905-9133"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4802-4802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME ID",
            "identifier": "NH-4802-4802",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joe Flesher
• Natalie L Foster
• Henry Lee Franklin

• All providers in Kingston, OK
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.