Organization Active NPI

MDR Health Group LLC

  • Home Health Agency
  • McAlester, OK
National Provider Identifier
1942287339
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7809 Issued in OK
Legal business name
MDR HEALTH GROUP LLC
Practice address
1637 S George Nigh Expy Ste A2
McAlester, OK 74501-7424
Phone
(918) 682-4194
Fax
(918) 682-4088
NPI assigned
Dec 27, 2005
Organization subpart
Yes
Parent organization
MDR HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Ms. Carla Musick, LPN
Title
Administrator
Phone
(580) 298-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7809 OK Primary

Addresses

Primary practice location

1637 S George Nigh Expy Ste A2
McAlester, OK 74501-7424

Mailing address

1637 S George Nigh Expy Ste A2
McAlester, OK 74501-7424
Phone (918) 302-3797

Other identifiers 1

IdentifierTypeStateIssuer
7809OtherOKHOME CARE AGENCY LICENSE

Other names 2

  • OneHealth Doing business as
  • Rainbow Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000145 OK Part A Provider - Home Health Agency 6406876259 Practice locations: Talihina, OK

Home health agency certification: CCN 377694

Legal name
MDR HEALTH GROUP LLC
Doing business as
RAINBOW HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 2006
Last certification
Jan 20, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 2, 2005 in OK
Enrollment address
52523 US Highway 271
Talihina, OK 74571-2207
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rainbow Home HealthCCN 377694
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jun 21, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
37D1046207Rainbow Home Health52523 US Hwy 271, Talihina, OK 74571Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Part of
MDR Health Group LLC

Locations

1425 E Lincoln Rd
Ste B
Idabel, OK 74745
Phone (580) 208-2273

1637 S George Nigh Expy
Ste A2
McAlester, OK 74501
Phone (918) 682-4194

1624 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-4194

52523 US Highway 271
Talihina, OK 74571
Phone (918) 567-4033

3015 E Skelly Dr
Ste 308
Tulsa, OK 74105
Phone (918) 712-4200

3524 E 51st St
Ste A
Tulsa, OK 74135
Phone (918) 712-4200

3524 E 51st St
Tulsa, OK 74135
Phone (918) 712-4200

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Vicki Bates Individual 5% Or Greater Direct Ownership Interest Oct 14, 2015 100%
Jamie Klitzke Individual Operational/Managerial ControlAdministrator Oct 1, 2023 5%

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 4

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": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1942287339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S GEORGE NIGH EXPY STE A2",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017424",
            "telephone_number": "918-302-3797",
            "fax_number": "918-420-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S GEORGE NIGH EXPY STE A2",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017424",
            "telephone_number": "918-682-4194",
            "fax_number": "918-682-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR HEALTH GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDR HEALTH GROUP LLC",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-298-9932",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE AGENCY LICENSE",
            "identifier": "7809",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainbow Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.