HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
NPI 1376993071
Skilled Nursing Facility in Henryetta, OK

Active since June 14, 2016CLIA 37D2193299 · Waiver
2/5
Overall Rating
212 NORTH ANTES, HENRYETTA, OK 74437(918) 652-8797(918) 652-0266 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Jul 8, 2024, Jun 14, 2016 (3 updates tracked since 2016).

About Henryetta Community Skilled Healthcare And Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC (NPI 1376993071), doing business as Henryetta Community Skilled Healthcare And Rehab, is a healthcare organization registered as a skilled nursing facility in Henryetta, Oklahoma and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Donna Simmons, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376993071
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHENRYETTA COMMUNITY SKILLED HEALTHCARE AND REHAB LLC
Location Address212 NORTH ANTESHenryetta, OK 74437
Mailing Address212 N Antes AveHenryetta, OK 74437-7331 · (918) 652-8797 · Fax (918) 652-0266
Fax(918) 652-0266
Organization SubpartNo
Authorized OfficialDonna SimmonsManaging Member · (405) 380-6671
Enumeration DateJune 14, 2016
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1376993071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH5602
Definition
(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.
212 NORTH ANTES, Henryetta, OK 74437

Other Names 2

Doing Business AsHenryetta Community Skilled Healthcare And Rehab
Former Legal Business NameHenryetta Community Skilled Healthcare & Rehab, Llc

Other Identifiers 1

Medicaid200662260AOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2193299

Henryetta Community Skilled Healthcare & Rehab · Henryetta, OK
Active · expires Sep 17, 2026
CLIA Number37D2193299
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDarla J. Cheatwood
Laboratory Phone(918) 652-8797
Laboratory LocationHenryetta Community Skilled Healthcare & Rehab212 N Antes Attn Kim Slyconish, Henryetta, OK 74437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Henryetta Community Skilled Healthcare & Rehab (CMS certification number 375569), from CMS Care Compare.

Henryetta Community Skilled Healthcare & Rehab

Nursing home · Henryetta, OK
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375569
Certified Beds53 beds28 residents per day on average
Medicare & Medicaid Participant SinceNovember 28, 2016
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.2%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henryetta Community Skilled Healthcare And Rehab LLC's NPI number?

The NPI number for Henryetta Community Skilled Healthcare And Rehab LLC is 1376993071. It was assigned to this organization in the NPPES registry on June 14, 2016. The provider is doing business as Henryetta Community Skilled Healthcare and Rehab. The provider was formerly known as Henryetta Community Skilled Healthcare & Rehab, LLC.

Where is Henryetta Community Skilled Healthcare And Rehab LLC located?

Henryetta Community Skilled Healthcare And Rehab LLC is located at 212 North Antes, Henryetta, OK 74437. The listed phone number is (918) 652-8797.

What is Henryetta Community Skilled Healthcare And Rehab LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Henryetta Community Skilled Healthcare And Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2193299) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Henryetta Community Skilled Healthcare And Rehab LLC a Medicare-certified nursing home?

Yes. Henryetta Community Skilled Healthcare & Rehab is a Medicare-certified nursing home with 53 certified beds.

What quality rating does Henryetta Community Skilled Healthcare And Rehab LLC have?

CMS rates Henryetta Community Skilled Healthcare & Rehab 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Henryetta Community Skilled Healthcare And Rehab LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Henryetta Community Skilled Healthcare And Rehab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henryetta Community Skilled Healthcare And Rehab LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.