Cordell Nursing and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORDELL NURSING AND REHABILITATION LLC

Practice address

1400 N College St
Cordell, OK 73632-1822

Phone

(580) 832-3371

Fax

(580) 832-2737

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By 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

Barney Kent Abbott

Title

Manager

Phone

(866) 219-3619

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619606944. Details of each certification follow.

• CCN 375306 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375306

Legal name

CORDELL NURSING AND REHABILITATION LLC

Doing business as

CORDELL NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1997

Last certification

Apr 25, 2024

Beds

110

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Aug 16, 2021 in OK

Enrollment address

1400 N College St
Cordell, OK 73632-1822

Nursing home name

CORDELL NURSING AND REHABILITATION

Listed as

Cordell Nursing and RehabilitationCCN 375306 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11051.4 residents per day on average

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.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Binger Nursing and Rehabilitation, LLC

  dba Binger Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Binger, OK
  • NPI 1770963092

  Abbott Family LLC

  CMS ownership
• Checotah Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Checotah, OK
  • NPI 1871036616

  Abbott Family LLC

  CMS ownership

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.

• Darrell Ray Hill, CNP

  • Nurse Practitioner
  • Cordell, OK
  • NPI 1295079556
  NPD (past)
• Samantha Jackson, MD

  • Family Medicine Physician
  • Hobart, OK
  • NPI 1104806967
  NPD (past)

Affiliated clinicians 1

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

• Samantha Jackson, MD

  • Family Medicine Physician
  • Hobart, OK
  • NPI 1104806967

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1619606944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ARAPAHO AVE",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730488702",
            "telephone_number": "405-471-3500",
            "fax_number": "405-663-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COLLEGE ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736321822",
            "telephone_number": "580-832-3371",
            "fax_number": "580-832-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDELL NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-219-3619"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Otherurl",
            "affiliation": "N",
            "address_1": "1400 N College St",
            "city": "Cordell",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736321822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cordell Memorial Hospital 0189 (Cordell Memorial Hospital Clinic)
• Cordell Memorial Hospital 0189 (Cordell Hospital Authority dba Cordell Memorial Hospital)
• Cordell Memorial Hospital 0189
• Cordell Memorial Hospital 0189 (Cordell Hospital Authority dba Cordell Memorial Hospital)
• Cordell Memorial Hospital 0189 (Cordell Hospital Authority dba Cordell Memorial Hospital Ambulance Ser)
• Cordell Public Schools
• David Macarty, OD PC
• Evetts Drug Inc.
• Marlene Heinrichs
• Darrell Ray Hill, CNP

• Skilled Nursing Facility in Cordell, OK
• Providers in Cordell, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.