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ELMBROOK HOME, INC.
NPI 1275532616
Nursing Facility/Intermediate Care Facility in Ardmore, OK

Active since July 19, 2005CLIA Certified · 2 labs
5/5
Overall Rating
1811 9TH AVE NW, ARDMORE, OK 73401(580) 223-3303(580) 223-1763 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elmbrook Home, Inc. NPPES

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

ELMBROOK HOME, INC. (NPI 1275532616) is a healthcare organization registered as a nursing facility/intermediate care facility in Ardmore, Oklahoma and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Tom Coble, Owner, as its authorized official.

NPPES Registry Identity

NPI1275532616
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameELMBROOK HOME, INC.
Location Address1811 9TH AVE NWArdmore, OK 73401-2326
Mailing Address1811 9th Ave NwArdmore, OK 73401-2326 · (580) 223-3303 · Fax (580) 223-1763
Phone(580) 223-3303
Fax(580) 223-1763
Organization SubpartNo
Authorized OfficialTom CobleOwner · (580) 226-3055
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 3, 2016
✔ NPI 1275532616 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 · NH10031003
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.

1811 9TH AVE NW, Ardmore, OK 73401
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Other Identifiers 2

Medicaid100776890AOK
Medicare OSCAR/certification375160OK

CLIA Laboratory Certificates CMS CLIA 2

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 37D0471920

Elmbrook Home Elmbrook Home, Inc · Ardmore, OK
Active · expires Aug 31, 2026
CLIA Number37D0471920
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMalaika T. Horton
Laboratory Phone(580) 223-3303
Laboratory LocationElmbrook Home Elmbrook Home, Inc1811 9th Avenue NW, Ardmore, OK 73401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2272100

Elmbrook At Home, LLC · Ardmore, OK
Active · expires Nov 14, 2026
CLIA Number37D2272100
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorToni Headstream
Laboratory Phone(580) 226-3055
Laboratory LocationElmbrook At Home, LLC1908 12th Ave NW, Ste E, Ardmore, OK 73401
CLIA data matches this NPI record on: 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 Elmbrook Home (CMS certification number 375160), from CMS Care Compare.

Elmbrook Home

Nursing home · Ardmore, OK
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375160
Certified Beds126 beds73 residents per day on average
Medicare & Medicaid Participant SinceMarch 14, 1994
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
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.
10.67
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 2.34 · LPN 0.67 · RN 0.36
3.37 hrs per resident per day
Weekend Nurse Staffing
2.86 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.
59.2%
Registered Nurse Turnover
50%
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
1
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 Elmbrook Home, Inc.'s NPI number?

The NPI number for Elmbrook Home, Inc. is 1275532616. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Elmbrook Home, Inc. located?

Elmbrook Home, Inc. is located at 1811 9th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-3303.

What is Elmbrook Home, Inc.'s specialty?

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

Does Elmbrook Home, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Elmbrook Home, Inc. a Medicare-certified nursing home?

Yes. Elmbrook Home is a Medicare-certified nursing home with 126 certified beds.

What quality rating does Elmbrook Home, Inc. have?

CMS rates Elmbrook Home 5 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 Elmbrook Home, Inc. was last updated on March 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.