POCOLA NURSING CENTER LLC – Pediatric Skilled Nursing Facility, NPI 1881721637

POCOLA NURSING CENTER LLC is a healthcare provider. based in Pocola, Oklahoma. specializing in Pediatric Skilled Nursing Facility. The organization holds a License No. 100777480A (OK). The NPI Number for POCOLA NURSING CENTER LLC is 1881721637

Main info

Organization
Name
POCOLA NURSING CENTER LLC
NPI
1881721637
Phone
Not provided
Address
PO BOX 869
Authorized Official
CHRIS HENSLEY ADMINISTRATOR
Enumeration Date
28 February 2007
Last Update Date
23 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for POCOLA NURSING CENTER LLC

  • PO BOX 869

    POCOLA, OK 749020869

    Phone:

    Type: Mailing

  • 200 HOME STREET

    POCOLA, OK 74902

    Phone: (918) 436-2228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111213000942OSkilled Nursing FacilityOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74902)

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Reviews

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Frequently asked questions

Does POCOLA NURSING CENTER LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — POCOLA NURSING CENTER LLC uses 1881721637.
Does CMS list POCOLA NURSING CENTER LLC as active?
Yes — POCOLA NURSING CENTER LLC is active in the NPI listing used on this page.
What is POCOLA NURSING CENTER LLC's specialty?
The listing groups POCOLA NURSING CENTER LLC with Pediatric Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What area does POCOLA NURSING CENTER LLC serve?
POCOLA NURSING CENTER LLC's listing highlights Pocola, Oklahoma; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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