NPIMap

Organization Active NPI

Checotah Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Checotah, OK
National Provider Identifier
1871036616
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH4602-4602 Issued in 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
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Barney Kent Abbott
Title
Member
Phone
(405) 445-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH4602-4602 OK Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220001417 OK Part A Provider - Skilled Nursing Facility 7911280862 Practice locations: Checotah, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871036616. Details of each certification follow.

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
LLCProprietary
Incorporated
Jan 6, 2015 in OK
Enrollment address
321 SE 2ND St
Checotah, OK 74426-4005
Nursing home name
CHECOTAH NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Checotah Nursing CenterCCN 375140 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
8235.9 residents per day on average
Penalties (3 years)
3Fines totaling $90,838

Processed by Care Compare on Aug 1, 2026.

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
Cohea Limited Partners, LP Organization, Ketchum, OK For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2016
Barney Kent Abbott Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2016
Jalee Abbott Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2016
Rodney Nixon Individual Operational/Managerial Control Nov 1, 2016
Abbott Family LLC Organization, Hydro, OK LLC 5% Or Greater Direct Ownership Interest Nov 1, 2016
Dandy Risman Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2016

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1871036616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480070",
            "telephone_number": "866-219-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 2ND ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744264005",
            "telephone_number": "918-473-2251",
            "fax_number": "918-473-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECOTAH NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-445-0074"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH4602-4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Checotah, OK

Sources for this page

Verify at the official NPI Registry.