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EPWORTH VILLA
NPI 1114922598
Nursing Facility/Intermediate Care Facility in Oklahoma City, OK

Active since June 14, 2005CLIA 37D0471655 · Waiver
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134(405) 752-1200(405) 755-5106 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2019, Jun 29, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Epworth Villa NPPES

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

EPWORTH VILLA (NPI 1114922598) is a healthcare organization registered as a nursing facility/intermediate care facility in Oklahoma City, Oklahoma and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kenneth Lee Bullock, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114922598
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC
Location Address14901 N PENNSYLVANIA AVEOklahoma City, OK 73134
Mailing Address14901 N Pennsylvania AveOklahoma City, OK 73134-6069 · (405) 752-1200 · Fax (405) 755-5106
Phone(405) 752-1200
Fax(405) 755-5106
Organization SubpartYesParent: Epworth Living
Authorized OfficialKenneth Lee BullockCfo · (405) 749-3516
Enumeration DateJune 14, 2005
Last NPPES UpdateJuly 8, 20193 updates tracked since enumeration
✔ NPI 1114922598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in OK · CC5504
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License CC5504 (OK)
14901 N PENNSYLVANIA AVE, Oklahoma City, OK 73134
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Other Names 1

Doing Business AsEpworth Villa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.Insurance ›

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 37D0471655

Epworth Villa Health Services · Oklahoma City, OK
Active · expires Aug 31, 2026
CLIA Number37D0471655
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMia P. Owen
Laboratory Phone(405) 486-1356
Laboratory LocationEpworth Villa Health Services14901 N Pennsylvania, Oklahoma City, OK 73134
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DEREK ALAN SPRIGGS
Physical Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
CAITLYN BIGGERS PT, DPT
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
MRS. JANA GORDON COTA/L
Occupational Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
MR. KIRT RAY BEEBY PT
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
KOURTNEY MYCHELL FOX PT, DPT
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 225-0748
MRS. CHRISTINA NICHOLE HINES COTA/L
Occupational Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
MRS. PAULA LEE SAXON OT/L
Physical Medicine & Rehabilitation
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200
MARY KATHERINE KELCH
Occupational Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-1200

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 Central Oklahoma United Methodist Retirement Facility Inc's NPI number?

The NPI number for Central Oklahoma United Methodist Retirement Facility Inc is 1114922598. It was assigned to this organization in the NPPES registry on June 14, 2005. The provider is doing business as Epworth Villa.

Where is Central Oklahoma United Methodist Retirement Facility Inc located?

Central Oklahoma United Methodist Retirement Facility Inc is located at 14901 N Pennsylvania Ave, Oklahoma City, OK 73134. The listed phone number is (405) 752-1200.

What is Central Oklahoma United Methodist Retirement Facility Inc's specialty?

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

Does Central Oklahoma United Methodist Retirement Facility Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0471655) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Oklahoma United Methodist Retirement Facility Inc accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Central Oklahoma United Methodist Retirement Facility Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Oklahoma United Methodist Retirement Facility Inc was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.