Wood Manor Opco L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

375499 Issued in OK

Legal business name

WOOD MANOR OPCO L.L.C.

Practice address

2800 N Hickory St
Claremore, OK 74017-1086

Phone

(918) 341-4365

Fax

(918) 341-7218

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Theresa Mere

Title

Associate

Phone

(325) 691-5519

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457786303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N HICKORY ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740170808",
            "telephone_number": "918-341-4365",
            "fax_number": "918-341-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N HICKORY ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171086",
            "telephone_number": "918-341-4365",
            "fax_number": "918-341-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD MANOR OPCO L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MERE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "325-691-5519"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "375499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NH6603",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Wiskofske, LPC-C
• Kathryn Rose Wofford
• Donna Wolf
• Emily Anne Wolf
• Womens Healthcare of Rogers Co Inc
• Wood Manor, Inc.
• Wood Manor, Inc.
• Ronald Joseph Wood, M.S.
• Charles James Woodall, RN
• Shamaine Morial Woodard - Payton, LCSW US

• Skilled Nursing Facility in Claremore, OK
• Providers in Claremore, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.