Rebold Manor L L C is a Skilled Nursing Facility (organization) practicing in Okmulgee, Oklahoma. The National Provider Identifier (NPI) is #1144326489, which was assigned on September 15, 2006, and the registration record was last updated on February 5, 2026. The practitioner's main practice location is at 1701 E 6th St, Okmulgee, OK 74447-4807; the contact telephone number is 9187561967, and the fax number is 9187564271. The primary taxonomy of Rebold Manor L L C is Skilled Nursing Facility (314000000X). The authorized official for Rebold Manor L L C is Kristy Deroin (Director of Reimbursement). Rebold Manor L L C is licensed to practice in the state of Oklahoma (#NH5608-5608).
(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.
| NPI | 1144326489 |
| Entity Type | Organization |
| Organization Name | REBOLD MANOR L L C |
| Provider Name | REBOLD MANOR L L C |
| Practice Address |
1701 E 6th St Okmulgee OK 74447-4807 |
| Practice Telephone | 9187561967 |
| Practice Fax Number | 9187564271 |
| Mailing Address |
1701 E 6th St Okmulgee OK 74447-4807 |
| Mailing Telephone | 9187561967 |
| Mailing Fax Number | 9187564271 |
| Certification Date | 2026-02-05 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2026-02-05 |
| Is Organization Subpart | N |
| Official Name | KRISTY DEROIN |
| Official Title | DIRECTOR OF REIMBURSEMENT |
| Credential | MBA |
| Telephone | 4059431144 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH5608-5608 | OK |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 200073640A | OK | MEDICAID |
| Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| Classification | Skilled Nursing Facility |
| Grouping | Nursing & Custodial Care Facilities |
| 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| Street Address |
1701 E 6TH ST |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-4807 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mary Jones | 323 W 6th Street, Okmulgee, OK 74447 | Mental Health Counselor | 2008-12-03 |
| Tsq Inc | 1151 South Belmont, Suite 101, Okmulgee, OK 74447 | Family Medicine Physician | 2006-08-18 |
| Ky Joel Kiger | 900 East Airport Road, Okmulgee, OK 74447 | Physical Therapist | 2007-04-16 |
| Michelle Ann Grayson | 1803 South Wood Drive, Okmulgee, OK 74447 | Case Manager/Care Coordinator | 2019-12-05 |
| Sarah Stice | 1803 S. Wood Drive, Okmulgee, OK 74447 | Case Manager/Care Coordinator | 2021-10-14 |
| Kyler Childress | 1893 South Wood Dr, Okmulgee, OK 74447 | Peer Specialist | 2022-03-09 |
| April Lynn Pendley | 2360 Us Highway 62, Okmulgee, OK 74447 | Counselor | 2018-01-09 |
| State of Oklahoma | 900 E. Airport Rd., Okmulgee, OK 74447 | Skilled Nursing Facility | 2008-02-08 |
| David Louis Holden | 1803 W Wood Drive, Okmulgee, OK 74447 | Counselor | 2020-07-30 |
| Tnt Dental Services PLLC | 1829 S Wood Drive, Okmulgee, OK 74447 | General Practice Dentistry | 2007-04-12 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |