Organization Active NPI

Elmbrook of Atoka Operating Co LLC

  • Skilled Nursing Facility
  • Atoka, OK
National Provider Identifier
1265324214
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELMBROOK OF ATOKA OPERATING CO LLC
Practice address
1526 S Virginia Ave
Atoka, OK 74525-3246
Phone
(580) 889-2500
Fax
(580) 498-0135
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Mr. Tom C Coble
Title
Sole Member
Phone
(580) 226-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1526 S Virginia Ave
Atoka, OK 74525-3246

Mailing address

1908 12TH Ave NW Ste E
Ardmore, OK 73401-1255
Phone (580) 226-3055

Other names 1

  • ELMBROOK OF ATOKA Doing business as

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
37D1026414Elmbrook of Atoka1526 S Virginia Ave, Atoka, OK 74525Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1265324214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 12TH AVE NW STE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011255",
            "telephone_number": "580-226-3055",
            "fax_number": "580-226-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253246",
            "telephone_number": "580-889-2500",
            "fax_number": "580-498-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMBROOK OF ATOKA OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "580-226-3055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMBROOK OF ATOKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.