Bartlesville Care Center Inc.
Organization Active NPI Skilled Nursing Facility · Bartlesville, OK
NPI 1710980552 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1710980552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH7403-7403 (OK)
- Legal business name
- BARTLESVILLE CARE CENTER INC.
- Practice address
- 3434 Kentucky PL
Bartlesville, OK 74006-2339 - Phone
- (918) 333-9545
- Fax
- (918) 333-9601
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Kenneth Cordell Rumsey
- Title
- Administrator
- Phone
- (918) 333-9545
Owners & managing parties with NPI records 2
-
William W Davito, D.O.
-
Michael Ryan Vaclaw, M.D.
Practitioners 2
-
William W Davito, D.O.
-
Michael Ryan Vaclaw, M.D.
Affiliated clinicians 2
-
William W Davito, D.O.
-
Michael Ryan Vaclaw, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Bartlesville Health and Rehabilitation Community
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1991
- Medicare certification status
- Active
- Certified beds
- 119 · 74.7 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $75,816
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0656653 | Bartlesville Health & Rehab Community | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375110
- Legal name
- BARTLESVILLE CARE CENTER INC.
- Doing business as
- BARTLESVILLE HEALTH & REHABILITATION COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1991
- Last certification
- Dec 4, 2024
- Beds
- 119
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 25, 1996 in OK
- Enrollment address
- 3434 Kentucky Place
Bartlesville, OK 74006-2339 - Nursing home name
- BARTLESVILLE HEALTH AND REHABILITATION COMMUNITY
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Driggers |
Operational/Managerial Control | Oct 8, 2024 | |
| BHRC LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2012 | 100% |
| Adp of the SNF | Nov 1, 2012 | ||
| William W Davito |
Operational/Managerial Control | May 1, 2004 | |
| Adp of the SNF | May 1, 2004 | ||
| Tony Wilkins |
5% Or Greater Direct Ownership Interest |
Nov 1, 2012 | 50% |
| Corporate Officer |
Nov 1, 2012 | 50% | |
| Alexander Dout |
5% Or Greater Direct Ownership Interest |
Nov 1, 2012 | 50% |
| Corporate Officer |
Nov 1, 2012 | 50% | |
| Tammy Fowler |
Operational/Managerial Control | Jan 31, 2024 | |
| Kenneth Cordell Rumsey |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | Nov 11, 2025 | ||
| James Oren Brown |
Adp of the SNF | Jan 1, 2004 | |
| Michael Ryan Vaclaw |
Operational/Managerial Control | May 1, 2004 | |
| Adp of the SNF | May 1, 2004 | ||
| Kimberly Sue Fogle |
Corporate Officer |
Apr 30, 2023 | |
| Forvis Mazars LLP |
Adp of the SNF | Dec 12, 1996 | |
| Kristen Ryan |
Operational/Managerial Control | Jun 28, 2010 | |
| Jim Brown & Associates |
Adp of the SNF | Nov 18, 2025 | |
| Logan Holmes |
Operational/Managerial Control | Sep 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051128000063 | OK | Part a Provider - Skilled Nursing Facility | 1254351976 | Practice locations: Bartlesville, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH7403-7403 | OK | Yes |
Addresses
Primary practice location
3434 Kentucky PL
Bartlesville, OK 74006-2339
Mailing address
3434 Kentucky PL
Bartlesville, OK 74006-2339
Phone (918) 333-9545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100777490A | Medicaid | OK |
Other names
- Bartlesville Health & Rehab Community
Other providers in Bartlesville, OK
- Abbagail Louella Barnes
- Mackenzie Denise Barnes
- Cailyn M Barnhart
- Brandice Bartholomew
- Bartlesville Ambulance Service
- Bartlesville Chiropractic, Inc.
- Bartlesville Companion Care, LLC
- Bartlesville Dental Studio P.C.
- Bartlesville Family Dental, LLC
- Bartlesville Family Eyecare
All providers in Bartlesville, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.