North County Operations SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTH COUNTY OPERATIONS SNF LLC

Doing business as

North County Center for Nursing and Rehabilitation

Practice address

2300 W Broadway St
Collinsville, OK 74021-1625

Phone

(918) 371-2545

Fax

(918) 770-0212

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 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

David Ganz

Title

Manager

Phone

(832) 422-8848

Specialties & licenses 1

Addresses

Other names 1

• North County Center for Nursing and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861110884. Details of each certification follow.

• CCN 375504 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375504

Legal name

NORTH COUNTY OPERATIONS SNF LLC

Doing business as

NORTH COUNTY CENTER FOR NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 20, 2006

Last certification

Apr 4, 2024

Beds

119

Ownership / control type

Corporation

Multi-facility organization

Sky Blue

Organization structure

LLCProprietary

Incorporated

Apr 7, 2022 in OK

Enrollment address

2300 W Broadway St
Collinsville, OK 74021-1625

Nursing home name

NORTH COUNTY CENTER FOR NURSING AND REHABILITATION

Listed as

North County Center for Nursing and RehabilitationCCN 375504 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 20, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11953.3 residents per day on average

Penalties (3 years)

2Fines totaling $17,641

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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 1

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

• Heartsworth Operations SNF LLC

  dba Heartsworth Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Vinita, OK
  • NPI 1518685536

  Rivers Edge Operations II LLC

  CMS ownership

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.

• Arvid Lade, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1255318168
  NPD (past)

Affiliated clinicians 1

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

• Arvid Lade, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1255318168

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1861110884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211625",
            "telephone_number": "918-371-2545",
            "fax_number": "918-770-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211625",
            "telephone_number": "918-371-2545",
            "fax_number": "918-770-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY OPERATIONS SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-422-8848"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Shay Nash, PT, DPT
• Jerome Neal Jr.
• Cassandra Lana Nichols
• Hilary Dawn-Anthony Nicholson, APRN-CNP
• North County Operations LLC (North County Assisted Living)
• North County Senior Living LLC (North County Assisted Living)
• North County Senior Living, LLC (North County Center for Nursing and Rehabilitation)
• Nurse Cass, LLC
• On Call Pediatrics PLLC
• Allison Ann Owen

• Skilled Nursing Facility in Collinsville, OK
• Providers in Collinsville, 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 Aug 16, 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.