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TIDWELL LIVING CENTER
NPI 1023430741
Nursing Facility/Intermediate Care Facility in Wilburton, OK

Active since January 15, 2014CLIA 37D2082961 · Waiver
3/5
Overall Rating
900 RANCHWOOD DR, WILBURTON, OK 74578(918) 465-5020(918) 465-5007 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tidwell Living Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDWELL LIVING CENTER (NPI 1023430741) is a healthcare organization registered as a nursing facility/intermediate care facility in Wilburton, Oklahoma and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Melissa C Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1023430741
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameTIDWELL HEALTHCARE, LLC
Location Address900 RANCHWOOD DRWilburton, OK 74578-3630
Mailing Address900 Ranchwood DrWilburton, OK 74578-3630 · (918) 465-5020 · Fax (918) 465-5007
Phone(918) 465-5020
Fax(918) 465-5007
Organization SubpartNo
Authorized OfficialMelissa C TidwellOwner · (918) 465-5020
Enumeration DateJanuary 15, 2014
Last NPPES UpdateDecember 31, 2015
✔ NPI 1023430741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in OK · NH3903-3903
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
900 RANCHWOOD DR, Wilburton, OK 74578
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Other Names 1

Doing Business AsTidwell Living Center

Other Identifiers 2

Medicaid200522320AOK
Medicare PIN375563OK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2082961

Tidwell Living Center · Wilburton, OK
Active · expires Aug 25, 2026
CLIA Number37D2082961
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorMelissa Tidwell
Laboratory Phone(918) 465-5020
Laboratory LocationTidwell Living Center900 West Ranchwood Dr, Wilburton, OK 74578
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Tidwell Living Center (CMS certification number 375563), from CMS Care Compare.

Tidwell Living Center

Nursing home · Wilburton, OK
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375563
Certified Beds55 beds28 residents per day on average
Medicare & Medicaid Participant SinceMarch 23, 2015
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
37.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.84 · LPN 0.79 · RN 0.39
4.03 hrs per resident per day
Weekend Nurse Staffing
3.49 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
2
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALLMARK MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
900 RANCHWOOD DR
WILBURTON, OK 74578
Latimer County (479) 434-0239
LATIMER COUNTY HOSPITAL RETIREMENT CENTER, LLC
Nursing Facility/Intermediate Care Facility
900 RANCHWOOD DR
WILBURTON, OK 74578
Latimer County (918) 465-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidwell Healthcare, LLC's NPI number?

The NPI number for Tidwell Healthcare, LLC is 1023430741. It was assigned to this organization in the NPPES registry on January 15, 2014. The provider is doing business as Tidwell Living Center.

Where is Tidwell Healthcare, LLC located?

Tidwell Healthcare, LLC is located at 900 Ranchwood Dr, Wilburton, OK 74578. The listed phone number is (918) 465-5020.

What is Tidwell Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Tidwell Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2082961) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tidwell Healthcare, LLC a Medicare-certified nursing home?

Yes. Tidwell Living Center is a Medicare-certified nursing home with 55 certified beds.

What quality rating does Tidwell Healthcare, LLC have?

CMS rates Tidwell Living Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Tidwell Healthcare, LLC was last updated on December 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.