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CALLAWAY NURSING HOME
NPI 1508853508
Nursing Facility/Intermediate Care Facility in Sulphur, OK

Active since October 04, 2005CLIA 37D0671701 · Waiver
1300 W LINDSAY AVE, SULPHUR, OK 73086(580) 622-4600(580) 622-5151 Get Directions Write a Review

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

About Callaway Nursing Home NPPES

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

CALLAWAY NURSING HOME (NPI 1508853508) is a healthcare organization registered as a nursing facility/intermediate care facility in Sulphur, Oklahoma and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Janice Pita, Insurance/medicare, as its authorized official.

NPPES Registry Identity

NPI1508853508
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSULPHUR MANOR INC
Location Address1300 W LINDSAY AVESulphur, OK 73086-6650
Mailing Address1300 W Lindsay AveSulphur, OK 73086-6650 · (580) 622-4600 · Fax (580) 622-5151
Phone(580) 622-4600
Fax(580) 622-5151
Organization SubpartNo
Authorized OfficialJanice PitaInsurance/medicare · (580) 622-6300
Enumeration DateOctober 4, 2005
Last NPPES UpdateJune 16, 2008
✔ NPI 1508853508 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 · NH5003-5003
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.
1300 W LINDSAY AVE, Sulphur, OK 73086
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Other Names 1

Doing Business AsCallaway Nursing Home

Other Identifiers 3

Medicare ID-Type Unspecified37-5401OK · Medicare Oklahoma
Medicaid100776290AOK
Other000375401001OK · Blue Cross/blue Shield

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 37D0671701

Callaway Nurs Hm Dba Sulphur Manor Inc · Sulphur, OK
Active · expires Aug 31, 2026
CLIA Number37D0671701
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJackie Alexander Rn
Laboratory Phone(580) 622-2416
Laboratory LocationCallaway Nurs Hm Dba Sulphur Manor Inc1300 West Lindsey, Sulphur, OK 73086
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sulphur Manor Inc's NPI number?

The NPI number for Sulphur Manor Inc is 1508853508. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is doing business as Callaway Nursing Home.

Where is Sulphur Manor Inc located?

Sulphur Manor Inc is located at 1300 W Lindsay Ave, Sulphur, OK 73086. The listed phone number is (580) 622-4600.

What is Sulphur Manor Inc's specialty?

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

Does Sulphur Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0671701) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sulphur Manor Inc was last updated on June 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.