Active NPI
MDR Health Group LLC
- Home Health Agency
- McAlester, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7809
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7809 | Other | OK | HOME CARE AGENCY LICENSE |
Other names 2
- OneHealth
- Rainbow Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Aug 2, 2005 in OK
- Enrollment address
- 52523 US Highway 271
Talihina, OK 74571-2207
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rainbow Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 21, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 37D1046207 | Rainbow Home Health | Certificate of waiver | Oct 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vicki Bates | 5% Or Greater Direct Ownership Interest | Oct 14, 2015 | 100% |
| Jamie Klitzke | Operational/Managerial Control | 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.
-
- Home Health Agency
- NPI 1912365685
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.