Hensley Nursing & Rehab LLC
Organization Active NPI Skilled Nursing Facility · Sayre, OK
NPI 1801368113 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1801368113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HENSLEY NURSING & REHAB LLC
- Practice address
- 725 E. Main Street
Sayre, OK 73662 - Phone
- (580) 928-2494
- Fax
- (580) 928-2495
- NPI assigned
- Dec 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Bradford Montgomery
- Title
- Member
- Phone
- (479) 250-5558
Practitioners 2
-
Jack Howard Brown Jr., MD, DPM
-
Treva Jo Graham, M.D.
Affiliated clinicians 1
-
Treva Jo Graham, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Hensley Nursing & Rehab
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 15, 2010
- Medicare certification status
- Active
- Certified beds
- 67 · 31.0 residents per day on average
- Chain
- Bradford Montgomery
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0928890 | Hensley Nursing & Rehab, LLC | Certificate of waiver | May 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375532
- Legal name
- HENSLEY NURSING & REHAB LLC
- Doing business as
- HENSLEY NURSING & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 15, 2010
- Last certification
- May 14, 2025
- Beds
- 67
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2019
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 12, 2018 in OK
- Enrollment address
- Highway 152, Box 465
Sayre, OK 73662-0465 - Nursing home name
- HENSLEY NURSING & REHAB
- Affiliated entity
- BRADFORD MONTGOMERY
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Dale Hensley |
W-2 Managing Employee |
Apr 1, 2019 | 100% |
| Bradford Montgomery |
5% Or Greater Direct Ownership Interest |
Dec 12, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191108002526 | OK | Part a Provider - Skilled Nursing Facility | 3870925001 | Practice locations: Sayre, OK |
National Provider Directory
Locations
9 Professional Dr
Bella Vista, AR 72715
Phone (479) 876-6566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
725 E. Main Street
Sayre, OK 73662
Mailing address
9 Professional Dr
Bella Vista, AR 72715-8462
Phone (479) 715-6759
Other names
- Hensley Nursing & Rehab
Other providers in Sayre, OK
- David L Epp
- Charlotte Renea Fite
- Graham Family Medicine LLC
- Graham Family Medicine LLC
- Treva Jo Graham
- Heritage Home Medical, Inc.
- Robert Hicks
- Katrina Lavern Hinds
- Jamie Hooper
- James T Cail III DO Family Practice PC
All providers in Sayre, 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 Jun 7, 2024. 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.