Elmbrook Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH10031003 Issued in OK

Legal business name

ELMBROOK HOME, INC.

Practice address

1811 9TH Ave NW
Ardmore, OK 73401-2326

Phone

(580) 223-3303

Fax

(580) 223-1763

NPI assigned

Jul 19, 2005

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tom Coble

Title

Owner

Phone

(580) 226-3055

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275532616. Details of each certification follow.

• CCN 375160 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375160

Legal name

ELMBROOK HOME, INC.

Doing business as

ELMBROOK HOME, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 14, 1994

Last certification

Jan 16, 2025

Beds

126

Ownership / control type

Individual

Organization structure

CorporationProprietary

Incorporated

Feb 2, 1993 in OK

Enrollment address

1811 9TH Ave NW
Ardmore, OK 73401-2326

Nursing home name

ELMBROOK HOME

Affiliated entity

ELMBROOK MANAGEMENT COMPANY

Listed as

Elmbrook HomeCCN 375160 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Mar 14, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12670.5 residents per day on average

Chain

Elmbrook Management Company11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• James Don Dixson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1790729895

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Artesian Home, Inc.

  • Skilled Nursing Facility
  • Sulphur, OK
  • NPI 1588663520

  Elmbrook Properties Inc

  CMS ownership
• Southbrook Healthcare, Inc.

  • Skilled Nursing Facility
  • Ardmore, OK
  • NPI 1013916311

  Elmbrook Properties Inc

  CMS ownership
• Woodview Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Ardmore, OK
  • NPI 1174522213

  Elmbrook Properties Inc

  CMS ownership

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.

• James Don Dixson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1790729895
  NPD (past)
• Stephen I Hutchins, M.D.

  • Family Medicine Physician
  • Marietta, OK
  • NPI 1073564597
  NPD (past)

Affiliated clinicians 3

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

• James Don Dixson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1790729895

  Nursing home

  Care Compare affiliation
• Stephen I Hutchins, M.D.

  • Family Medicine Physician
  • Marietta, OK
  • NPI 1073564597

  Nursing home

  Care Compare affiliation
• Daniel Morgan Tucker, MD

  • Family Medicine Physician
  • Texarkana, AR
  • NPI 1265923759

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1275532616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 9TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012326",
            "telephone_number": "580-223-3303",
            "fax_number": "580-223-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 9TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012326",
            "telephone_number": "580-223-3303",
            "fax_number": "580-223-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMBROOK HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-226-3055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH10031003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100776890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Elliott, BHRS
• Penny Elliott, LPC
• Bobby J Ellis, M.D.
• Jared Scott Ellsworth, PA
• Elmbrook Clinical Services LLC
• Travis Elmore
• Whitney Dawn Elmore, B.A
• Rachel Irene Elrod
• Alicia Elzy
• Emdr Solutions LLC

• Nursing Facility/Intermediate Care Facility in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.