Organization Active NPI

Lane Nursing & Ventilator Care LLC

Doing business as Inola Health & Rehabilitation

  • Skilled Nursing Facility
  • Inola, OK
National Provider Identifier
1467790402
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH6606-6606 Issued in OK
Legal business name
LANE NURSING & VENTILATOR CARE LLC
Doing business as
Inola Health & Rehabilitation
Practice address
400 N Broadway
Inola, OK 74036-9424
Phone
(918) 543-8800
Fax
(918) 543-8801
NPI assigned
Jan 25, 2013
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Ms. Casey L Daves, MS, SLP, LNHA
Title
Owner/Operator
Phone
(918) 994-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH6606-6606 OK Primary

Addresses

Primary practice location

400 N Broadway
Inola, OK 74036-9424

Mailing address

705 W. Queens St.
Broken Arrow, OK 74012-1767
Phone (918) 994-4300

Other identifiers 1

IdentifierTypeStateIssuer
200542340AMedicaidOK

Other names 1

  • Inola Health & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617000790 OK Part A Provider - Skilled Nursing Facility 3577985704 Practice locations: Inola, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467790402. Details of each certification follow.

Skilled nursing facility certification: CCN 375449

Legal name
LANE NURSING & VENTILATOR CARE, LLC
Doing business as
INOLA HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 15, 2003
Last certification
Oct 23, 2024
Beds
65
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jun 26, 2013
Organization structure
LLCProprietary
Incorporated
Jun 19, 2012 in OK
Enrollment address
400 N Broadway
Inola, OK 74036-9424
Nursing home name
LANE NURSING & VENTILATOR CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lane Nursing & Ventilator CareCCN 375449 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 15, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6537.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0669970Lane Nursing & Ventilator Care, LLC400 N Broadway, Inola, OK 74036Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Casey Daves Individual 5% Or Greater Direct Ownership InterestOwner Mar 20, 2020 100%
Corporate Director Apr 1, 2017
W-2 Managing Employee Apr 1, 2017

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1467790402",
    "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": "400 N BROADWAY",
            "city": "INOLA",
            "state": "OK",
            "postal_code": "740369424",
            "telephone_number": "918-543-8800",
            "fax_number": "918-543-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE NURSING & VENTILATOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "DAVES",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "918-994-4300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, SLP, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH6606-6606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inola Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inola, OK

Sources for this page

Verify at the official NPI Registry.