ELMWOOD MANOR NURSING HOME
NPI 1225038524
Skilled Nursing Facility in Wewoka, OK

Active since July 28, 2005CLIA 37D0475969 · Waiver
3/5
Overall Rating
300 S SEMINOLE AVE, WEWOKA, OK 74884(405) 257-6621(405) 257-6402 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elmwood Manor Nursing Home NPPES

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

ELMWOOD MANOR NURSING HOME (NPI 1225038524) is a healthcare organization registered as a skilled nursing facility in Wewoka, Oklahoma and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Pam Humphreys, Owner, as its authorized official.

NPPES Registry Identity

NPI1225038524
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameELMWOOD MANOR NURSING HOME LLC
Location Address300 S SEMINOLE AVEWewoka, OK 74884-2557
Mailing AddressPo Box 975Wewoka, OK 74884-0975 · (405) 257-6621 · Fax (405) 257-6402
Fax(405) 257-6402
Organization SubpartNo
Authorized OfficialPam HumphreysOwner · (405) 379-0039
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1225038524 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 · NH6701-6701
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.
300 S SEMINOLE AVE, Wewoka, OK 74884

Other Names 1

Doing Business AsElmwood Manor Nursing Home

Other Identifiers 1

Medicaid200047510AOK

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 37D0475969

Elmwood Manor Nursing Home LLC · Wewoka, OK
Active · expires Aug 31, 2026
CLIA Number37D0475969
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDebbie E. Melton
Laboratory Phone(405) 257-6621
Laboratory LocationElmwood Manor Nursing Home LLC300 S Seminole St, Wewoka, OK 74884
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 Elmwood Manor Nursing Home (CMS certification number 375423), from CMS Care Compare.

Elmwood Manor Nursing Home

Nursing home · Wewoka, OK
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375423
Certified Beds46 beds39 residents per day on average
Medicare & Medicaid Participant SinceJanuary 14, 2003
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.
3/5
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.
50.67
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 2.51 · LPN 0.75 · RN 0.3
3.56 hrs per resident per day
Weekend Nurse Staffing
3.31 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
39.4%
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
2
Infection-Control Citations
0
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.

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 Elmwood Manor Nursing Home LLC's NPI number?

The NPI number for Elmwood Manor Nursing Home LLC is 1225038524. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Elmwood Manor Nursing Home.

Where is Elmwood Manor Nursing Home LLC located?

Elmwood Manor Nursing Home LLC is located at 300 S Seminole Ave, Wewoka, OK 74884. The listed phone number is (405) 257-6621.

What is Elmwood Manor Nursing Home LLC's specialty?

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

Does Elmwood Manor Nursing Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0475969) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Elmwood Manor Nursing Home LLC a Medicare-certified nursing home?

Yes. Elmwood Manor Nursing Home is a Medicare-certified nursing home with 46 certified beds.

What quality rating does Elmwood Manor Nursing Home LLC have?

CMS rates Elmwood Manor Nursing Home 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 Elmwood Manor Nursing Home LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.