GRACE LIVING CENTER - WYNNEWOOD
NPI 1063517704
Skilled Nursing Facility in Wynnewood, OK

Active since September 14, 2006
810 E CALIFORNIA ST, WYNNEWOOD, OK 73098(405) 665-2330(405) 665-4378 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Living Center - Wynnewood NPPES

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

GRACE LIVING CENTER - WYNNEWOOD (NPI 1063517704) is a healthcare organization registered as a skilled nursing facility in Wynnewood, Oklahoma and active in the NPI registry since September 2006. The organization lists Mike Dimond, Manager, as its authorized official.

NPPES Registry Identity

NPI1063517704
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWYNNEWOOD NURSING CENTER LLC
Location Address810 E CALIFORNIA STWynnewood, OK 73098-3207
Mailing Address810 E California StWynnewood, OK 73098-3207 · (405) 665-2330 · Fax (405) 665-4378
Fax(405) 665-4378
Organization SubpartNo
Authorized OfficialMike DimondManager · (405) 943-1144
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063517704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH2506-2506
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
810 E CALIFORNIA ST, Wynnewood, OK 73098

Other Names 1

Doing Business AsGrace Living Center - Wynnewood

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 Wynnewood Nursing Center LLC's NPI number?

The NPI number for Wynnewood Nursing Center LLC is 1063517704. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Grace Living Center - Wynnewood.

Where is Wynnewood Nursing Center LLC located?

Wynnewood Nursing Center LLC is located at 810 E California St, Wynnewood, OK 73098. The listed phone number is (405) 665-2330.

What is Wynnewood Nursing Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Wynnewood Nursing Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.