Organization Active NPI

Memory Care Center at Emerald, LLC

  • Skilled Nursing Facility
  • Claremore, OK
National Provider Identifier
1861960940
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEMORY CARE CENTER AT EMERALD, LLC
Practice address
2700 Hickory St
Claremore, OK 74017-1214
Phone
(918) 283-4949
Fax
(918) 283-4508
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Fleischmann
Title
Controller
Phone
(516) 399-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2700 Hickory St
Claremore, OK 74017-1214

Mailing address

2700 Hickory St
Claremore, OK 74017-1214
Phone (918) 341-4365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109002526 OK Part A Provider - Skilled Nursing Facility 3173869310 Practice locations: Claremore, OK

Skilled nursing facility certification: CCN 375553

Legal name
MEMORY CARE CENTER AT EMERALD, LLC
Doing business as
MEMORY CARE CENTER AT EMERALD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 4, 2013
Last certification
May 14, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Emerald Healthcare, LLC
Most recent change of ownership
Nov 1, 2018
Organization structure
LLCProprietary
Enrollment address
2700 N Hickory Street
Claremore, OK 74017-1214
Nursing home name
MEMORY CARE CENTER AT EMERALD
Affiliated entity
EMERALD HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Memory Care Center at EmeraldCCN 375553
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 - Limited Liability company
Certified
Jun 4, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.1 residents per day on average
Chain
Emerald Healthcare14 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $15,239

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2051878Memory Care Center at Emerald2700 N Hickory Street, Claremore, OK 74017Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Ycok Holdings LLC Organization, Valley Stream, NY LLC 5% Or Greater Indirect Ownership Interest Jun 4, 2018 50%
Jacob I Walden Individual Contracted Managing EmployeeManager Nov 1, 2018
5% Or Greater Indirect Ownership Interest Jun 4, 2018 49.5%
Yisroel I Chafetz Individual Contracted Managing EmployeeManager Nov 1, 2018
5% Or Greater Indirect Ownership Interest Jun 4, 2018 49.5%
Darlene Kindle Individual W-2 Managing EmployeeAdministrator Nov 1, 2018
Ehc Claremore Operations LLC Organization, Valley Stream, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 4, 2018 100%
JW Oklahoma Holdings LLC Organization, Valley Stream, NY LLC 5% Or Greater Indirect Ownership Interest Jun 4, 2018 50%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1861960940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HICKORY ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171214",
            "telephone_number": "918-341-4365",
            "fax_number": "516-504-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HICKORY ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171214",
            "telephone_number": "918-283-4949",
            "fax_number": "918-283-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY CARE CENTER AT EMERALD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "516-399-3051"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.