Checotah Nursing and Rehabilitation LLC
Organization Active NPI Skilled Nursing Facility · Checotah, OK
NPI 1871036616 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1871036616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH4602-4602 (OK)
- Legal business name
- CHECOTAH NURSING AND REHABILITATION LLC
- Practice address
- 321 SE 2ND St
Checotah, OK 74426-4005 - Phone
- (918) 473-2251
- Fax
- (918) 473-6774
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Barney Kent Abbott
- Title
- Member
- Phone
- (405) 445-0074
Facilities with the same owner 2
Practitioners 2
-
John F Rice, DO
Affiliated clinicians 1
-
John F Rice, DO
Medicare Care Compare: Nursing home
- Listed as
- Checotah Nursing Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1993
- Medicare certification status
- Active
- Certified beds
- 82 · 35.9 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $90,838
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375140
- Legal name
- CHECOTAH NURSING AND REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1993
- Last certification
- Aug 9, 2024
- Beds
- 82
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 6, 2015 in OK
- Enrollment address
- 321 SE 2ND St
Checotah, OK 74426-4005 - Nursing home name
- CHECOTAH NURSING CENTER
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Cohea Limited Partners, LP |
5% Or Greater Direct Ownership Interest | Nov 1, 2016 | |
| Barney Kent Abbott |
5% Or Greater Indirect Ownership Interest | Nov 1, 2016 | |
| Jalee Abbott |
5% Or Greater Indirect Ownership Interest | Nov 1, 2016 | |
| Rodney Nixon |
Operational/Managerial Control | Nov 1, 2016 | |
| Abbott Family LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2016 | |
| Dandy Risman |
5% Or Greater Indirect Ownership Interest | Nov 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170220001417 | OK | Part a Provider - Skilled Nursing Facility | 7911280862 | Practice locations: Checotah, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH4602-4602 | OK | Yes |
Addresses
Primary practice location
321 SE 2ND St
Checotah, OK 74426-4005
Mailing address
PO Box 70
Hydro, OK 73048-0070
Phone (866) 219-3619
Other providers in Checotah, OK
- Teresa Lynne Brown
- Tammy Carnes
- Cedar Holding, LLC
- Checotah Holdings, LLC
- Checotah Medical Center, P.C.
- Checotah Nursing Center LLC
- Choices for Life Foster Care, Inc.
- Christopher M Mitchell MD PLLC
- City of Checotah
- Clayborn Family Clinic, LLC
All providers in Checotah, 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 15, 2021. 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.