Organization Active NPI

Spiro Nursing Home, Inc.

  • Skilled Nursing Facility
  • Spiro, OK
National Provider Identifier
1073510913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH-4005 Issued in OK
Legal business name
SPIRO NURSING HOME, INC.
Practice address
401 S Main St
Spiro, OK 74959-2601
Phone
(918) 962-2308
Fax
(918) 962-2033
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary L. McClure
Title
Administrator/President
Phone
(918) 962-2308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH-4005 OK Primary

Addresses

Primary practice location

401 S Main St
Spiro, OK 74959-2601

Mailing address

401 S Main St
Spiro, OK 74959-2601
Phone (918) 962-2308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000843 OK Part A Provider - Skilled Nursing Facility 6608044409 Practice locations: Spiro, OK

Skilled nursing facility certification: CCN 375258

Legal name
SPIRO NURSING HOME, INC.
Doing business as
DISCOVER PEDIATRIC THERAPY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1996
Last certification
Jun 3, 2025
Beds
95
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 22, 1967 in OK
Enrollment address
401 S Main St
Spiro, OK 74959-2601
Nursing home name
SPIRO NURSING HOME, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spiro Nursing Home, Inc.CCN 375258 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9551.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0476055Spiro Nursing Home, Inc401 S Main, Spiro, OK 74959Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Adp of the SNF Oct 1, 2023
Happy Wilson Individual Corporate OfficerSecretary/Treasurer Aug 24, 2011 4.2%
Rhonda L McClure Individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 85.8%
Corporate OfficerVP Feb 1, 2016 85.8%
Adp of the SNF Feb 1, 2016
Direct Ownership Interest Feb 1, 2016 85.8%
Garon D McClure Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 1, 2016 10%
Corporate OfficerPresident Feb 1, 2016 10%
Operational/Managerial Control Aug 24, 2010
Adp of the SNF Aug 24, 2010
Direct Ownership Interest Feb 1, 2016 10%
Kerry McClure LLC Organization, Spiro, OK Corporation 5% Or Greater Indirect Ownership Interest Jun 11, 2008 10%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073510913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592601",
            "telephone_number": "918-962-2308",
            "fax_number": "918-962-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592601",
            "telephone_number": "918-962-2308",
            "fax_number": "918-962-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRO NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "918-962-2308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH-4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spiro, OK

Sources for this page

Verify at the official NPI Registry.