Active NPI
Davis Health and Rehabilitation, LLC
- Skilled Nursing Facility
- Davis, OK
National Provider Identifier
1437320876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5002
- Legal business name
- DAVIS HEALTH AND REHABILITATION, LLC
- Practice address
- 505 S 7TH St
Davis, OK 73030-3136 - Phone
- (580) 369-2653
- Fax
- (580) 369-2445
- NPI assigned
- Mar 13, 2008
- Last updated
- Sep 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Casey L. Daves
- Title
- Authorized Official
- Phone
- (918) 994-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5002 | OK | Primary |
Addresses
Primary practice location
505 S 7TH St
Davis, OK 73030-3136
Mailing address
705 W Queens St
Broken Arrow, OK 74012-1767
Phone (918) 994-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774540A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080708000664 | OK | Part A Provider - Skilled Nursing Facility | 7810069804 | Practice locations: Davis, OK |
| O20091102000553 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810069804 | Practice locations: Davis, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437320876. Details of each certification follow.
Skilled nursing facility certification: CCN 375325
- Legal name
- DAVIS HEALTH AND REHABILITATION, LLC
- Doing business as
- BUFORD MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1998
- Last certification
- Nov 1, 2024
- Beds
- 73
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Sep 3, 2007 in OK
- Enrollment address
- 505 S 7TH St
Buford Manor
Davis, OK 73030-3136 - Nursing home name
- BURFORD MANOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Burford Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1998
- Medicare certification status
- Active
- Certified beds
- 73
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| William E Daves | 5% Or Greater Direct Ownership Interest | Sep 3, 2007 | 50% |
| Casey Daves | Corporate Officer | Apr 1, 2017 | |
| W-2 Managing Employee | Apr 1, 2017 |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Davis, OK
- NPI 1538157102
-
- Family Medicine Physician
- Sulphur, OK
- NPI 1659538734
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505174400000",
"number": "1437320876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 W QUEENS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121767",
"telephone_number": "918-994-4300",
"fax_number": "918-994-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 7TH ST",
"city": "DAVIS",
"state": "OK",
"postal_code": "730303136",
"telephone_number": "580-369-2653",
"fax_number": "580-369-2445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS HEALTH AND REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2017-09-12",
"status": "A",
"authorized_official_last_name": "DAVES",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "918-994-4300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "5002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100774540A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.