KENWOOD MANOR LLC
NPI 1346314572
Skilled Nursing Facility in Enid, OK

Active since November 20, 2006
502 W PINE AVE, ENID, OK 73701(580) 233-2722 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenwood Manor Llc NPPES

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

KENWOOD MANOR LLC (NPI 1346314572) is a healthcare organization registered as a skilled nursing facility in Enid, Oklahoma and active in the NPI registry since November 2006. The organization lists Micheline Nader, Owner, as its authorized official.

NPPES Registry Identity

NPI1346314572
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKENWOOD MANOR LLC
Location Address502 W PINE AVEEnid, OK 73701-3032
Mailing Address502 W Pine AveEnid, OK 73701-3032 · (580) 233-2722
Organization SubpartYes
Authorized OfficialMicheline NaderOwner · (918) 786-2276
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 8, 2011
NPI 1346314572 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 · NH2406-2406
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.
502 W PINE AVE, Enid, OK 73701

Other Identifiers 2

Medicare ID-Type Unspecified375459OK
Medicaid200059530AOK

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 37D0670292

Kenwood Manor Kenmetal, LLC · Enid, OK
Expired · Aug 31, 2026
CLIA Number37D0670292
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJames Brett Krablin
Laboratory Phone(580) 233-2722
Laboratory LocationKenwood Manor Kenmetal, LLC502 W Pine Ave, Enid, OK 73701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapy Assistant
502 W PINE AVE
ENID, OK 73701
Skilled Nursing Facility
502 W PINE AVE
ENID, OK 73701

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 Kenwood Manor LLC's NPI number?

The NPI number for Kenwood Manor LLC is 1346314572. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Kenwood Manor LLC located?

Kenwood Manor LLC is located at 502 W Pine Ave, Enid, OK 73701. The listed phone number is (580) 233-2722.

What is Kenwood Manor LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenwood Manor LLC was last updated on September 8, 2011. 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.