Wood Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH6603-6603 Issued in OK

Legal business name

WOOD MANOR, INC.

Doing business as

Wood Manor Nursing Center

Practice address

2800 Hickory St
Claremore, OK 74017-1086

Phone

(918) 341-4365

Fax

(918) 341-7128

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Shively

Title

Administrator

Phone

(918) 341-4365

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wood Manor Nursing Center Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wood Manor, Inc.

  dba Autumn Wood

  • Alzheimer Center (Dementia Center)
  • Claremore, OK
  • NPI 1992059398
  NPPES parent name

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1922104199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740180808",
            "telephone_number": "918-341-4365",
            "fax_number": "918-341-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HICKORY ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171086",
            "telephone_number": "918-341-4365",
            "fax_number": "918-341-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIVELY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-341-4365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6603-6603",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH6603-6603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100770000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Manor Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Rose Wofford
• Donna Wolf
• Emily Anne Wolf
• Womens Healthcare of Rogers Co Inc
• Wood Manor Opco L.L.C.
• Wood Manor, Inc. (Autumn Wood)
• Ronald Joseph Wood, M.S.
• Charles James Woodall, RN
• Shamaine Morial Woodard - Payton, LCSW US
• Ashley Woolfolk, SLP

• 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 Sep 11, 2009; 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.