Haskell Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH5104-5104 Issued in OK

Legal business name

HASKELL CARE CENTER LLC

Doing business as

haskell care center

Practice address

405 N Choctaw Avenue
Haskell, OK 74436-1319

Phone

(918) 482-3310

Fax

(918) 482-6801

NPI assigned

Jul 28, 2005

Last updated

Jan 6, 2025By 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

Pam Humphreys

Title

Owner

Phone

(405) 379-0039

Specialties & licenses 1

Addresses

Other names 1

• haskell care center 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 1891795100. Details of each certification follow.

• CCN 375414 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375414

Legal name

HASKELL CARE CENTER LLC

Doing business as

HASKELL CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 16, 2002

Last certification

Sep 27, 2024

Beds

58

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

405 North Choctaw
Haskell, OK 74436-1319

Nursing home name

HASKELL CARE CENTER

Listed as

Haskell Care CenterCCN 375414 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 16, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5835.0 residents per day on average

Penalties (3 years)

1Fines totaling $3,422

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold 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.

• Terry Hermance, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518980580
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1891795100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CHOCTAW AVENUE",
            "city": "HASKELL",
            "state": "OK",
            "postal_code": "744361319",
            "telephone_number": "918-482-3310",
            "fax_number": "918-482-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CHOCTAW AVENUE",
            "city": "HASKELL",
            "state": "OK",
            "postal_code": "744361319",
            "telephone_number": "918-482-3310",
            "fax_number": "918-482-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASKELL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-379-0039"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH5104-5104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "haskell care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Enkey
• Claire L Erickson, D.C.
• Taylor Jane Feller
• Fit for Me Physical Therapy, LLC
• Carol Harris
• Haskell Public Schools
• Linda Tracy, Otr/L, PC
• Ashwini Lingappa, SLPA
• Love and Hope To2 Counseling Services PLLC
• Syreta Mason

• Skilled Nursing Facility in Haskell, OK
• Providers in Haskell, 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 Jan 6, 2025; 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.