Ada Care Center LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Ada, OK
NPI 1982836136 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1982836136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- NH6201-6201 (OK)
- Legal business name
- ADA CARE CENTER LLC
- Practice address
- 931 N Country Club Rd
Ada, OK 74820-2845 - Phone
- (580) 332-3631
- NPI assigned
- Aug 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Bart Reed
- Title
- Manager
- Phone
- (580) 436-0950
Facilities with the same owner 2
Practitioners 2
-
James B Krablin, MD
Affiliated clinicians 1
-
James B Krablin, MD
Medicare Care Compare: Nursing home
- Listed as
- Ada Care Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 23, 2004
- Medicare certification status
- Active
- Certified beds
- 85 · 35.1 residents per day on average
- Chain
- IHS Management Consultants
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375464
- Legal name
- ADA CARE CENTER LLC
- Doing business as
- ADA CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 23, 2004
- Last certification
- Feb 5, 2025
- Beds
- 85
- Ownership / control type
- Individual
- Most recent change of ownership
- Jun 30, 2017
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 25, 2008 in OK
- Enrollment address
- 931 N Country Club Rd
Ada, OK 74820-2845 - Nursing home name
- ADA CARE CENTER
- Affiliated entity
- IHS MANAGEMENT CONSULTANTS
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| IHS Management Consultants Inc. |
Other | May 1, 2020 | |
| Bart T Reed |
5% Or Greater Indirect Ownership Interest | May 1, 2020 | 100% |
| Corporate Officer |
May 1, 2020 | ||
| Operational/Managerial Control |
May 1, 2020 | 100% | |
| BK Strategies LLC |
5% Or Greater Direct Ownership Interest | May 1, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915000872 | OK | Part a Provider - Skilled Nursing Facility | 7214073121 | Practice locations: Ada, OK |
National Provider Directory
Locations
201 W 5th St
Ada, OK 74820
Phone (580) 436-0950
1415 S Main St
Kingfisher, OK 73750
Phone (405) 375-3157
959 SW 107th St
Oklahoma City, OK 73170
Phone (405) 703-3400
10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH6201-6201 | OK | Yes |
| Skilled Nursing Facility | 314000000X | NH6201-6201 | OK |
Addresses
Primary practice location
931 N Country Club Rd
Ada, OK 74820-2845
Mailing address
931 N Country Club Rd
Ada, OK 74820-2845
Phone (580) 332-3631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100773320A | Medicaid | OK |
Other providers in Ada, OK
- Ada Anesthesia Associates, PLLC
- Ada Apothecary PLLC
- Ada Area Chemical Dependency Center, Inc
- Ada Area Youth Shelter Inc.
- Ada Artificial Limb & Brace Inc.
- Ada City Schools
- Ada Dentistry and Braces
- Ada Family Chiropractic P.L.L.C.
- Ada Family Dentistry Inc.
- Ada Family Eye Care Inc
All providers in Ada, OK · Nursing Facility/Intermediate Care 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 Apr 7, 2020. 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.