Organization Active NPI

Woodview Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Ardmore, OK
National Provider Identifier
1174522213
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH1008-1008 Issued in OK
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100774620AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 375393 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 6, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6838.7 residents per day on average
Chain
Elmbrook Management Company11 facilities in the chain

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
37D0669938Woodview Home, Inc1630 3Rd Avenue NE, Ardmore, OK 73401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Woodview Home, Inc. Organization, Ardmore, OK Corporation, For-profit, Owned by another organization or individual 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 Individual 5% Or Greater Indirect Ownership InterestPresident Dec 27, 2018 100%
Corporate OfficerPresident Dec 27, 2018 100%
Operational/Managerial Control Dec 27, 2018
Adp of the SNF Dec 27, 2018
Indirect Ownership Interest Dec 27, 2018 100%
Organization, Madill, OK LLC Adp of the SNF Dec 31, 2025
Organization, Springfield, MO Adp of the SNF Dec 31, 2025
James Dixson Individual Operational/Managerial Control Nov 1, 2020
Adp of the SNF Nov 1, 2020
Jason Lodes Individual Corporate OfficerVP of Facilities Mar 6, 2023
Operational/Managerial Control Mar 6, 2023
Adp of the SNF Mar 6, 2023
Elmbrook Properties Inc Organization, Ardmore, OK Corporation, For-profit 5% Or Greater Direct Ownership Interest May 27, 1999 100%
Adp of the SNF May 27, 1999
Tyson Hammons Individual 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.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Verify at the official NPI Registry.