CORN HERITAGE VILLAGE
NPI 1295798494
Nursing Facility/Intermediate Care Facility in Corn, OK

Active since April 10, 2006CLIA 37D0671115 · Waiver
4/5
Overall Rating
106 W ADAMS STREET, CORN, OK 73024(580) 343-2295(580) 343-2297 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corn Heritage Village NPPES

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

CORN HERITAGE VILLAGE (NPI 1295798494) is a healthcare organization registered as a nursing facility/intermediate care facility in Corn, Oklahoma and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Martin Hall, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295798494
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCORN THE MENNONITE BRETHREN CHURCH OF CORN OK
Location Address106 W ADAMS STREETCorn, OK 73024
Mailing AddressPo Box 98Corn, OK 73024-0098 · (580) 343-2295 · Fax (580) 343-2297
Fax(580) 343-2297
Organization SubpartNo
Authorized OfficialMartin HallExecutive Director · (580) 343-2295
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 5, 2010
NPI 1295798494 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 · NH7502
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.
106 W ADAMS STREET, Corn, OK 73024

Other Names 1

Other NameCorn Heritage Village

Other Identifiers 1

Medicaid100771430AOK

Accepted 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 37D0671115

Corn Heritage Village & Rehab Corn · Corn, OK
Active · expires Aug 31, 2026
CLIA Number37D0671115
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSheriff Raji
Laboratory Phone(580) 343-2295
Laboratory LocationCorn Heritage Village & Rehab Corn106 W Adams St, Corn, OK 73024
CLIA data matches this NPI record on: Address 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 Corn Heritage Village And Rehab (CMS certification number 375409), from CMS Care Compare.

Corn Heritage Village And Rehab

Nursing home · Corn, OK
4/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number375409
Certified Beds104 beds61 residents per day on average
Medicare & Medicaid Participant SinceMay 14, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
5.33
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 2.92 · LPN 0.86 · RN 0.22
4 hrs per resident per day
Weekend Nurse Staffing
3.69 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
1 totaling $982.51
Medicare Payment Denials
0
Total Penalties
1
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.

Nursing Facility/Intermediate Care Facility
106 W ADAMS STREET
CORN, OK 73024

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 Corn The Mennonite Brethren Church Of Corn Ok's NPI number?

The NPI number for Corn The Mennonite Brethren Church Of Corn Ok is 1295798494. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is also known as Corn Heritage Village.

Where is Corn The Mennonite Brethren Church Of Corn Ok located?

Corn The Mennonite Brethren Church Of Corn Ok is located at 106 W Adams Street, Corn, OK 73024. The listed phone number is (580) 343-2295.

What is Corn The Mennonite Brethren Church Of Corn Ok's specialty?

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

Does Corn The Mennonite Brethren Church Of Corn Ok hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0671115) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Corn The Mennonite Brethren Church Of Corn Ok a Medicare-certified nursing home?

Yes. Corn Heritage Village And Rehab is a Medicare-certified nursing home with 104 certified beds.

What quality rating does Corn The Mennonite Brethren Church Of Corn Ok have?

CMS rates Corn Heritage Village And Rehab 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Corn The Mennonite Brethren Church Of Corn Ok accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Corn The Mennonite Brethren Church Of Corn Ok 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 Corn The Mennonite Brethren Church Of Corn Ok was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.