Active NPI
Woodview Home, Inc.
- Nursing Facility/Intermediate Care Facility
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH1008-1008
- Legal business name
- WOODVIEW HOME, INC.
- Practice address
- 1630 3Rd Ave NE
Ardmore, OK 73401-7726 - Phone
- (580) 226-5454
- NPI assigned
- Jul 20, 2005
- Last updated
- Jan 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom C Coble
- Title
- Owner
- Phone
- (580) 226-3055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH1008-1008 | OK | Primary |
Addresses
Primary practice location
1630 3Rd Ave NE
Ardmore, OK 73401-7726
Mailing address
1630 3Rd Ave NE
Ardmore, OK 73401-7726
Phone (580) 226-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774620A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090130000268 | OK | Part A Provider - Skilled Nursing Facility | 0446314876 | Practice locations: Ardmore, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174522213. Details of each certification follow.
Skilled nursing facility certification: CCN 375393
- Legal name
- WOODVIEW HOME, INC.
- Doing business as
- WOODVIEW HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 6, 2001
- Last certification
- Dec 12, 2024
- Beds
- 68
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Incorporated
- Sep 6, 1977 in OK
- Enrollment address
- 1630 3Rd Avenue NE
Woodview Home
Ardmore, OK 73401-7726 - Nursing home name
- WOODVIEW HOME, INC.
- Affiliated entity
- ELMBROOK MANAGEMENT COMPANY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Woodview Home, Inc.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Feb 6, 2001
- Medicare certification status
- Active
- Certified beds
- 68
- Chain
- Elmbrook Management Company
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0669938 | Woodview Home, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1630 3rd Ave NE
Ardmore, OK 73401
Phone (580) 226-5454
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Woodview Home, Inc. | 5% Or Greater Direct Ownership Interest | Nov 28, 2008 | 100% |
| Operational/Managerial Control | Nov 28, 2008 | ||
| Adp of the SNF | Nov 28, 2008 | ||
| Direct Ownership Interest | Nov 28, 2008 | 100% | |
| Tom Carl Coble | 5% Or Greater Indirect Ownership Interest | Dec 27, 2018 | 100% |
| Corporate Officer | Dec 27, 2018 | 100% | |
| Operational/Managerial Control | Dec 27, 2018 | ||
| Adp of the SNF | Dec 27, 2018 | ||
| Indirect Ownership Interest | Dec 27, 2018 | 100% | |
| Adp of the SNF | Dec 31, 2025 | ||
| Adp of the SNF | Dec 31, 2025 | ||
| James Dixson | Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Jason Lodes | Corporate Officer | Mar 6, 2023 | |
| Operational/Managerial Control | Mar 6, 2023 | ||
| Adp of the SNF | Mar 6, 2023 | ||
| Elmbrook Properties Inc | 5% Or Greater Direct Ownership Interest | May 27, 1999 | 100% |
| Adp of the SNF | May 27, 1999 | ||
| Tyson Hammons | Operational/Managerial Control | Jun 10, 2025 | |
| Adp of the SNF | Jun 10, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1790729895
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Ardmore, OK
- NPI 1275532616
Elmbrook Properties Inc
-
- Skilled Nursing Facility
- Ardmore, OK
- NPI 1013916311
Elmbrook Properties Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1790729895
-
- Family Medicine Physician
- Marietta, OK
- NPI 1073564597
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": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1174522213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 3RD AVE NE",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734017726",
"telephone_number": "580-226-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 3RD AVE NE",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734017726",
"telephone_number": "580-226-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODVIEW HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "COBLE",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-226-3055"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OK",
"license": "NH1008-1008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100774620A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.