SKIATOOK NURSING HOME, LLC
NPI 1336247873
Nursing Facility/Intermediate Care Facility in Skiatook, OK

Active since September 20, 2006CLIA 37D0697741 · Waiver
2/5
Overall Rating
318 S CHERRY ST, SKIATOOK, OK 74070(918) 396-2149(918) 396-4256 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Skiatook Nursing Home, Llc NPPES

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

SKIATOOK NURSING HOME, LLC (NPI 1336247873) is a healthcare organization registered as a nursing facility/intermediate care facility in Skiatook, Oklahoma and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Justin W. Mcgrew, Business Management, as its authorized official.

NPPES Registry Identity

NPI1336247873
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSKIATOOK NURSING HOME, LLC
Location Address318 S CHERRY STSkiatook, OK 74070-1325
Mailing Address318 S Cherry StSkiatook, OK 74070-1325 · (918) 396-2149 · Fax (918) 396-4256
Fax(918) 396-4256
Organization SubpartNo
Authorized OfficialJustin W. McgrewBusiness Management · (918) 775-4439
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 8, 2012
NPI 1336247873 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 · NH5705-5705
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.
318 S CHERRY ST, Skiatook, OK 74070

Other Identifiers 2

Medicaid200078980AOK
Medicare ID-Type Unspecified375293OK · Medicare

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 37D0697741

Skiatook Nursing Home · Skiatook, OK
Active · expires Aug 31, 2026
CLIA Number37D0697741
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMelissa M. Johnson
Laboratory Phone(918) 396-2149
Laboratory LocationSkiatook Nursing Home318 S Cherry, Skiatook, OK 74070
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 Skiatook Nursing Home,llc (CMS certification number 375293), from CMS Care Compare.

Skiatook Nursing Home,llc

Nursing home · Skiatook, OK
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375293
Certified Beds70 beds37 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1997
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.
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.
43
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 2.67 · LPN 0.88 · RN 0.34
3.89 hrs per resident per day
Weekend Nurse Staffing
3.99 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53.8%
Registered Nurse Turnover
60%
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
0
Fines
3 totaling $9,097.65
Medicare Payment Denials
1
Total Penalties
4
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.

Physical Therapy Assistant
318 S CHERRY ST
SKIATOOK, OK 74070

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 Skiatook Nursing Home, LLC's NPI number?

The NPI number for Skiatook Nursing Home, LLC is 1336247873. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Skiatook Nursing Home, LLC located?

Skiatook Nursing Home, LLC is located at 318 S Cherry St, Skiatook, OK 74070. The listed phone number is (918) 396-2149.

What is Skiatook Nursing Home, LLC's specialty?

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

Does Skiatook Nursing Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0697741) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Skiatook Nursing Home, LLC a Medicare-certified nursing home?

Yes. Skiatook Nursing Home,llc is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Skiatook Nursing Home, LLC have?

CMS rates Skiatook Nursing Home,llc 2 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 Skiatook Nursing Home, LLC was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.