Washita Valley Living Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH25012501 Issued in OK

Legal business name

WASHITA VALLEY LIVING CENTER, INC

Practice address

105 Washington St
Pauls Valley, OK 73075-5039

Phone

(405) 238-5528

Fax

(405) 238-7989

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Justice

Title

Owner

Phone

(405) 238-5528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375342

Legal name

WASHITA VALLEY LIVING CENTER, INC

Doing business as

WASHITA VALLEY LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1998

Last certification

Apr 21, 2025

Beds

109

Ownership / control type

Corporation

Most recent change of ownership

Jan 8, 2002

Organization structure

CorporationProprietary

Incorporated

Jan 30, 2001 in OK

Enrollment address

105 Washington
Pauls Valley, OK 73075-5039

Nursing home name

WASHITA VALLEY LIVING CENTER

Listed as

Washita Valley Living CenterCCN 375342

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10931.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 3

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

Practitioners 3

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

• Susan J Jones, D.O.

  • Family Medicine Physician
  • Wynnewood, OK
  • NPI 1730155904
  NPD (past)
• Hieu CHI Nguyen, M.D.

  • Family Medicine Physician
  • Norman, OK
  • NPI 1053757062
  NPD (past)
• Dennis Ray Whitehouse DO

  • Family Medicine Physician
  • Pauls Valley, OK
  • NPI 1306956156
  NPD (past)

Affiliated clinicians 2

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

• Hieu CHI Nguyen, M.D.

  • Family Medicine Physician
  • Norman, OK
  • NPI 1053757062

  Nursing home

  Care Compare affiliation
• Dennis Ray Whitehouse DO

  • Family Medicine Physician
  • Pauls Valley, OK
  • NPI 1306956156

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1528075546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730755039",
            "telephone_number": "405-238-5528",
            "fax_number": "405-238-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730755039",
            "telephone_number": "405-238-5528",
            "fax_number": "405-238-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHITA VALLEY LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-238-5528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH25012501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Vick
• Wal-Mart Stores East LP
• Aaron Wallace
• James Ray Ward, DDS
• Washita Emergency Physicians LLC
• Meagan Nicole Weins
• Dennis Ray Whitehouse DO
• Tina Williamson, LPC CANDIDATE
• Tevi K Winters, D.D.S.
• Tyler Chris Winters, D.D.S.

• Skilled Nursing Facility in Pauls Valley, OK
• Providers in Pauls Valley, 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 16, 2007; 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.