Wolfe Living Center Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH55485548 Issued in OK

Legal business name

WOLFE LIVING CENTER ASSOCIATION

Doing business as

The Wolfe Living Center

Practice address

18501 NE 63Rd St
Harrah, OK 73045-8550

Phone

(405) 454-1400

Fax

(405) 454-1404

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By 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

Martin Hubbertt

Title

Administrator

Phone

(405) 454-1400

Specialties & licenses 1

Addresses

Other names 1

• The Wolfe Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942392964. Details of each certification follow.

• CCN 375472 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375472

Legal name

WOLFE LIVING CENTER ASSOCIATION

Doing business as

THE WOLFE LIVING CENTER AT SUMMIT RIDGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 2005

Last certification

Apr 1, 2025

Beds

48

Ownership / control type

Church Related

Most recent change of ownership

Jul 1, 2007

Organization structure

CorporationNon-profit

Incorporated

Dec 22, 2006 in OK

Enrollment address

18501 NE 63Rd St
Harrah, OK 73045-8550

Nursing home name

THE WOLFE LIVING CENTER AT SUMMIT RIDGE

Listed as

The Wolfe Living Center at Summit RidgeCCN 375472 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4836.6 residents per day on average

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 15

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.

• Dan Neal Waters, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750341012

  Adp of the SNF

  CMS ownership

Practitioners 1

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.

• Dan Neal Waters, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750341012
  NPD (past)

Affiliated clinicians 1

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

• Dan Neal Waters, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750341012

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942392964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 NE 63RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730458550",
            "telephone_number": "405-454-1400",
            "fax_number": "405-454-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 NE 63RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730458550",
            "telephone_number": "405-454-1400",
            "fax_number": "405-454-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE LIVING CENTER ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBERTT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-454-1400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH55485548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wolfe Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy William Tippeconnic
• Natalie Valentine
• Rebecca D Webster, MED, LPC
• Breanna Marie Wesselhoft, APRN FNPC
• Megan Wilkey, PTA

• Skilled Nursing Facility in Harrah, OK
• Providers in Harrah, 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 Aug 22, 2020; 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.