HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC – NPI #1376993071
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.

HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC is a skilled nursing facility (SNF) located in HENRYETTA, OK. NPPES has assigned the NPI number 1376993071 to HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC on June 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was last updated on Sep 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC below.

NPI Profile for
HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC

NPI Number
1376993071
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Other name(s)
All associated names:
Former Legal Business Name
Henryetta Community Skilled Healthcare & Rehab, LLC
Doing Business As (dba)
Henryetta Community Skilled Healthcare and Rehab
Primary location
212 NORTH ANTES
HENRYETTA, OK 74437
Phone: (918) 652-8797 Fax: (918) 652-0266
Mailing address
212 N ANTES AVE
HENRYETTA, OK 74437-7331
Phone: (918) 652-8797 Fax: (918) 652-0266
Organization Subpart
No
Authorized Official
DONNA SIMMONS
MANAGING MEMBER
Phone: (405) 380-6671
Updated
Certification Date
Sep 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK200662260A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
OK NH5602

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.