Active NPI
Memory Care Center at Emerald, LLC
- Skilled Nursing Facility
- Claremore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Emerald
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 4, 2013
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Emerald Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2051878 | Memory Care Center at Emerald | Certificate of waiver | Jan 1, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ycok Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 4, 2018 | 50% |
| Jacob I Walden | Contracted Managing Employee | Nov 1, 2018 | |
| 5% Or Greater Indirect Ownership Interest | Jun 4, 2018 | 49.5% | |
| Yisroel I Chafetz | Contracted Managing Employee | Nov 1, 2018 | |
| 5% Or Greater Indirect Ownership Interest | Jun 4, 2018 | 49.5% | |
| Darlene Kindle | W-2 Managing Employee | Nov 1, 2018 | |
| Ehc Claremore Operations LLC | 5% Or Greater Direct Ownership Interest | Jun 4, 2018 | 100% |
| JW Oklahoma Holdings 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.
-
- Skilled Nursing Facility
- Claremore, OK
- NPI 1225506306
Ehc Claremore Operations LLC, JW Oklahoma Holdings LLC, Ycok Holdings LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1982699096
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1982699096
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.