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EASTWOOD MANOR, LLC
NPI 1417058470
Nursing Facility/Intermediate Care Facility in Commerce, OK

Active since September 25, 2006
2/5
Overall Rating
519 N MICKEY MANTLE BLVD, COMMERCE, OK 74339(918) 675-4455(918) 675-5472 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eastwood Manor, Llc NPPES

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

EASTWOOD MANOR, LLC (NPI 1417058470) is a healthcare organization registered as a nursing facility/intermediate care facility in Commerce, Oklahoma and active in the NPI registry since September 2006. The organization lists Kevin Douglas Moran, Business Management, as its authorized official.

NPPES Registry Identity

NPI1417058470
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEASTWOOD MANOR, LLC
Location Address519 N MICKEY MANTLE BLVDCommerce, OK 74339-1127
Mailing AddressPo Box 429Sallisaw, OK 74955-0429 · (918) 775-4439 · Fax (918) 775-9242
Phone(918) 675-4455
Fax(918) 675-5472
Organization SubpartNo
Authorized OfficialKevin Douglas MoranBusiness Management · (918) 775-4439
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1417058470 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 · NH5802-5802
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.
519 N MICKEY MANTLE BLVD, Commerce, OK 74339
Open in Google Maps ↗

Other Identifiers 1

Medicaid200081000AOK

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 37D0683792

Eastwood Manor Nursing Center, LLC · Commerce, OK
Expired · Aug 31, 2026
CLIA Number37D0683792
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPamela C. Cozort
Laboratory Phone(918) 675-4455
Laboratory LocationEastwood Manor Nursing Center, LLC6th & Highway 69, Commerce, OK 74339
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 Eastwood Manor (CMS certification number 375529), from CMS Care Compare.

Eastwood Manor

Nursing home · Commerce, OK
2/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number375529
Certified Beds80 beds31 residents per day on average
Medicare & Medicaid Participant SinceJuly 25, 2008
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
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.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
44.67
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 2.72 · LPN 0.96 · RN 0.73
4.41 hrs per resident per day
Weekend Nurse Staffing
4.05 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.
60.8%
Registered Nurse Turnover
42.9%
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
24 totaling $121,972.37
Medicare Payment Denials
0
Total Penalties
24
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 Eastwood Manor, LLC's NPI number?

The NPI number for Eastwood Manor, LLC is 1417058470. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Eastwood Manor, LLC located?

Eastwood Manor, LLC is located at 519 N Mickey Mantle Blvd, Commerce, OK 74339. The listed phone number is (918) 675-4455.

What is Eastwood Manor, LLC's specialty?

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

Is Eastwood Manor, LLC a Medicare-certified nursing home?

Yes. Eastwood Manor is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Eastwood Manor, LLC have?

CMS rates Eastwood Manor 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 Eastwood Manor, LLC was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.