National Provider Identifier Database

HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.


Contact Information

HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
212 NORTH ANTES
HENRYETTA, OK74437
Phone: 918-652-8797
Fax: 918-652-0266
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC

NPI Number 1376993071
Legal business name
LBN
HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Authorized official DONNA SIMMONS - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 06/14/2016
Last updated 09/19/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: NH5602
  • OK Medicaid: 200662260A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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