Active NPI
Ada Care Center LLC
- Nursing Facility/Intermediate Care Facility
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH6201-6201
- 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
- Last updated
- Apr 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bart Reed
- Title
- Manager
- Phone
- (580) 436-0950
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH6201-6201 | OK | Primary |
| 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100773320A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915000872 | OK | Part A Provider - Skilled Nursing Facility | 7214073121 | Practice locations: Ada, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982836136. Details of each certification follow.
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
- 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
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ada Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 23, 2004
- Medicare certification status
- Active
- Certified beds
- 85
- Chain
- IHS Management Consultants
National Provider Directory
National Provider DirectoryLocations
320 Carey Ave
Mangum, OK 73554
Phone (580) 782-3345
201 W Walnut St
Tecumseh, OK 74873
Phone (405) 598-2167
Ownership & related parties
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.
| 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% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Thunder Care and Rehabilitation
- Skilled Nursing Facility
- Moore, OK
- NPI 1184177214
BK Strategies LLC
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.
-
- Family Nurse Practitioner
- Holdenville, OK
- NPI 1144625732
-
- Internal Medicine Physician
- Lexington, OK
- NPI 1679509657
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": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1982836136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 N COUNTRY CLUB RD",
"city": "ADA",
"state": "OK",
"postal_code": "748202845",
"telephone_number": "580-332-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 N COUNTRY CLUB RD",
"city": "ADA",
"state": "OK",
"postal_code": "748202845",
"telephone_number": "580-332-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADA CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "BART",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "580-436-0950"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OK",
"license": "NH6201-6201",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH6201-6201",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100773320A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
- Ada Anesthesia Associates, PLLC
- Ada Apothecary PLLC (Ada Apothecary)
- Ada Area Chemical Dependency Center, Inc (Aacdc)
- Ada Area Youth Shelter Inc.
- Ada Artificial Limb & Brace Inc.
- Ada City Schools
- Ada Dentistry and Braces (Ada Dentistry)
- Ada Family Chiropractic P.L.L.C.
- Ada Family Dentistry Inc.
- Ada Family Eye Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.