Active NPI
Conhold of Catoosa LLC
Doing business as Rolling Hills Care Center
- Skilled Nursing Facility
- Catoosa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH6604-6604
- Legal business name
- CONHOLD OF CATOOSA LLC
- Doing business as
- Rolling Hills Care Center
- Practice address
- 801 N 193Rd East Ave
Catoosa, OK 74015-3066 - Phone
- (918) 266-5500
- Fax
- (918) 266-7600
- NPI assigned
- Feb 3, 2010
- Last updated
- May 24, 2021
- 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
- Mr. James F Sullivan Jr.
- Title
- Owner
- Phone
- (918) 774-9696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH6604-6604 | OK | Primary |
Addresses
Primary practice location
801 N 193Rd East Ave
Catoosa, OK 74015-3066
Mailing address
111 E Chickasaw Ave
Sallisaw, OK 74955-4625
Phone (918) 774-9696
Other names 1
- Rolling Hills Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110720000761 | OK | Part A Provider - Skilled Nursing Facility | 3678741501 | Practice locations: Catoosa, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699007534. Details of each certification follow.
Skilled nursing facility certification: CCN 375241
- Legal name
- CONHOLD OF CATOOSA LLC
- Doing business as
- ROLLING HILLS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 24, 1995
- Last certification
- May 9, 2024
- Beds
- 126
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Triacle, LLC
- Organization structure
- LLC
- Incorporated
- May 21, 2009 in OK
- Enrollment address
- 801 N 193Rd East Ave
Rolling Hills Care Center
Catoosa, OK 74015-3066 - Nursing home name
- ROLLING HILLS CARE CENTER
- Affiliated entity
- CONHOLD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rolling Hills Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 24, 1995
- Medicare certification status
- Active
- Certified beds
- 126
- Chain
- Conhold
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Adp of the SNF | Jan 22, 2025 | ||
| Adp of the SNF | Jan 28, 2020 | ||
| Conhold of Catoosa LLC | Operational/Managerial Control | May 28, 2009 | |
| James Frank Sullivan | 5% Or Greater Direct Ownership Interest | Jun 8, 2010 | 100% |
| Amy Allred | Operational/Managerial Control | May 18, 2018 | |
| Adp of the SNF | May 14, 2018 |
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1104853142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621814400000",
"number": "1699007534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E CHICKASAW AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749554625",
"telephone_number": "918-774-9696",
"fax_number": "918-774-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 193RD EAST AVE",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740153066",
"telephone_number": "918-266-5500",
"fax_number": "918-266-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONHOLD OF CATOOSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-774-9696",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH6604-6604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rolling Hills Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rolling Hills Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Catoosa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.