Wildwood Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7209-7209 Issued in OK

Legal business name

WILDWOOD CARE CENTER

Practice address

3333 E 28TH St
Tulsa, OK 74114-5915

Phone

(918) 747-8008

NPI assigned

Sep 29, 2006

Last updated

Sep 11, 2025By 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. Ed Rucker I

Title

Administrator

Phone

(918) 743-7838

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912099631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E 28TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741145915",
            "telephone_number": "918-747-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E 28TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741145915",
            "telephone_number": "918-747-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-743-7838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH7209-7209",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7209-7209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Bruce Wilcox
• Wild Hearth LLC (wild ember)
• Christine Ann Wilde
• Summer Luann Wilde, RSS
• Daniel E Wildes, D.O.
• Wildwood Management Company, L.L.C. (Wildwood Care Center)
• Jessica Wiles
• Jeania Marie Wiley, MS, LPC, NCC
• Jodi Lee Wiley, DO
• Kaleb Wiley

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, 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 Sep 11, 2025; 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.