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SHAWN MANOR NURSING HOME
NPI 1124326434
Skilled Nursing Facility in Ponca City, OK

Active since March 10, 2011CLIA 37D0720953 · Waiver
1/5
Overall Rating
2024 TURNER ST, PONCA CITY, OK 74604(580) 765-3364(580) 765-3376 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Manor Nursing Home NPPES

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

SHAWN MANOR NURSING HOME (NPI 1124326434) is a healthcare organization registered as a skilled nursing facility in Ponca City, Oklahoma and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James Frank Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1124326434
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCONHOLD OF PONCA LLC
Location Address2024 TURNER STPonca City, OK 74604-2732
Mailing Address2024 Turner StPonca City, OK 74604-2732 · (580) 765-3364 · Fax (580) 765-3376
Phone(580) 765-3364
Fax(580) 765-3376
Organization SubpartNo
Authorized OfficialJames Frank SullivanOwner · (918) 774-9696
Enumeration DateMarch 10, 2011
Last NPPES UpdateMarch 21, 2011
✔ NPI 1124326434 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 · NH3607-3607
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.
2024 TURNER ST, Ponca City, OK 74604
Open in Google Maps ↗

Other Names 1

Doing Business AsShawn Manor Nursing Home

Other Identifiers 1

Medicare OSCAR/certification375194OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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 37D0720953

Shawn Manor Nursing Home Conhold Of Ponca City, LLC · Ponca City, OK
Active · expires Aug 31, 2026
CLIA Number37D0720953
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJamie K. Sullivan
Laboratory Phone(580) 765-3364
Laboratory LocationShawn Manor Nursing Home Conhold Of Ponca City, LLC2024 Turner Rd, Ponca City, OK 74604
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 Shawn Manor Nursing Home (CMS certification number 375194), from CMS Care Compare.

Shawn Manor Nursing Home

Nursing home · Ponca City, OK
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number375194
Certified Beds96 beds27 residents per day on average
Medicare & Medicaid Participant SinceJanuary 16, 1995
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
98.67
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 1.84 · LPN 0.98 · RN 0.48
3.3 hrs per resident per day
Weekend Nurse Staffing
3.07 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
1 totaling $62,182.25
Medicare Payment Denials
1
Total Penalties
2
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

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

HNMS, LLC
Skilled Nursing Facility
2024 TURNER ST
PONCA CITY, OK 74604
Kay County (580) 765-3364

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 Conhold Of Ponca LLC's NPI number?

The NPI number for Conhold Of Ponca LLC is 1124326434. It was assigned to this organization in the NPPES registry on March 10, 2011. The provider is doing business as Shawn Manor Nursing Home.

Where is Conhold Of Ponca LLC located?

Conhold Of Ponca LLC is located at 2024 Turner St, Ponca City, OK 74604. The listed phone number is (580) 765-3364.

What is Conhold Of Ponca LLC's specialty?

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

Does Conhold Of Ponca LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0720953) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Conhold Of Ponca LLC a Medicare-certified nursing home?

Yes. Shawn Manor Nursing Home is a Medicare-certified nursing home with 96 certified beds.

What quality rating does Conhold Of Ponca LLC have?

CMS rates Shawn Manor Nursing Home 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Conhold Of Ponca LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Conhold Of Ponca LLC 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 Conhold Of Ponca LLC was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.