HENNESSEY NURSING & REHAB
NPI 1821508391
Nursing Facility/Intermediate Care Facility in Hennessey, OK

Q: What is Hennessey Nursing & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Hennessey Nursing & Rehabilitation LLC have?

CMS rates Hennessey Nursing & Rehab 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since October 10, 2017CLIA 37D1023783 · Waiver

1/5

Overall Rating

705 E 3RD ST, HENNESSEY, OK 73742(405) 853-4390(405) 853-4389 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Hennessey Nursing & Rehab NPPES

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

HENNESSEY NURSING & REHAB (NPI 1821508391) is a healthcare organization registered as a nursing facility/intermediate care facility in Hennessey, Oklahoma and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Bradford Montgomery, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1821508391

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameHENNESSEY NURSING & REHABILITATION LLC

Location Address705 E 3RD STHennessey, OK 73742-1620

Mailing Address9 Professional DrBella Vista, AR 72715-8462 · (479) 715-6957 · Fax (479) 715-6922

Phone(405) 853-4390

Fax(405) 853-4389

Organization SubpartNo

Authorized OfficialBradford MontgomeryManaging Member · (479) 715-6759

Enumeration DateOctober 10, 2017

Last NPPES UpdateApril 28, 2023

NPPES CertifiedSeptember 1, 2021

✔ NPI 1821508391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

705 E 3RD ST, Hennessey, OK 73742

Open in Google Maps ↗

Other Names 1

Doing Business AsHennessey Nursing & Rehab

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 37D1023783

Hennessey Nursing & Rehabilitation, LLC · Hennessey, OK

Active · expires Mar 24, 2028

CLIA Number37D1023783

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorDoug Dollarhide

Laboratory Phone(405) 853-4390

Laboratory LocationHennessey Nursing & Rehabilitation, LLC705 E 3rd St, Hennessey, OK 73742

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 Hennessey Nursing & Rehab (CMS certification number 375485), from CMS Care Compare.

Hennessey Nursing & Rehab

Nursing home · Hennessey, OK

1/5 CMS Overall Rating

OwnershipFor profit - Individual

CMS Certification Number375485

Certified Beds50 beds29 residents per day on average

Medicare & Medicaid Participant SinceAugust 30, 2005

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

100.17

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

Total Nurse Staffing

nurse aide 3.02 · LPN 0.66 · RN 0.44

4.12 hrs per resident per day

Weekend Nurse Staffing

3.91 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

26.5%

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $33,923.81

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENNESSEY MANOR NURSING HOME INC

Nursing Facility/Intermediate Care Facility

705 E 3RD ST
HENNESSEY, OK 73742

Kingfisher County (405) 853-6027

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 Hennessey Nursing & Rehabilitation LLC's NPI number?

The NPI number for Hennessey Nursing & Rehabilitation LLC is 1821508391. It was assigned to this organization in the NPPES registry on October 10, 2017. The provider is doing business as Hennessey Nursing & Rehab.

Where is Hennessey Nursing & Rehabilitation LLC located?

Hennessey Nursing & Rehabilitation LLC is located at 705 E 3rd St, Hennessey, OK 73742. The listed phone number is (405) 853-4390.

What is Hennessey Nursing & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Hennessey Nursing & Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1023783) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hennessey Nursing & Rehabilitation LLC a Medicare-certified nursing home?

Yes. Hennessey Nursing & Rehab is a Medicare-certified nursing home with 50 certified beds.

What quality rating does Hennessey Nursing & Rehabilitation LLC have?

CMS rates Hennessey Nursing & Rehab 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Hennessey Nursing & Rehabilitation LLC was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.