LINWOOD VILLAGE NURSING & RETIREMENT APARTMENTS
NPI 1962503318
Nursing Facility/Intermediate Care Facility in Cushing, OK

Active since September 26, 2006CLIA 37D0886171 · Waiver
530 S LINWOOD AVE, CUSHING, OK 74023(918) 743-7838 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Linwood Village Nursing & Retirement Apartments NPPES

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

LINWOOD VILLAGE NURSING & RETIREMENT APARTMENTS (NPI 1962503318) is a healthcare organization registered as a nursing facility/intermediate care facility in Cushing, Oklahoma and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Ed Rucker, Admistrator, as its authorized official.

NPPES Registry Identity

NPI1962503318
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCOLONIAL PLAZA NURSING HOME INC
Location Address530 S LINWOOD AVECushing, OK 74023-4644
Mailing Address530 S Linwood AveCushing, OK 74023-4644 · (918) 743-7838
Organization SubpartNo
Authorized OfficialEd RuckerAdmistrator · (918) 743-7838
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 15, 2008
NPI 1962503318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in OK · 0004362
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 375471 (OK)
530 S LINWOOD AVE, Cushing, OK 74023

Other Names 1

Doing Business AsLinwood Village Nursing & Retirement Apartments

Other Identifiers 2

Medicaid100771500AOK
Medicare ID-Type Unspecified375471OK

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 37D0886171

Linwood Village Nursing & Retirement Apts Linwood Village Operations, LLC · Cushing, OK
Active · expires May 13, 2028
CLIA Number37D0886171
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorTheresa Sellers
Laboratory Phone(918) 225-2220
Laboratory LocationLinwood Village Nursing & Retirement Apts Linwood Village Operations, LLC530 S Linwood Ave, Cushing, OK 74023
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
530 S LINWOOD AVE
CUSHING, OK 74023
Skilled Nursing Facility
530 S LINWOOD AVE
CUSHING, OK 74023
Skilled Nursing Facility
530 S LINWOOD AVE
CUSHING, OK 74023

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 Colonial Plaza Nursing Home Inc's NPI number?

The NPI number for Colonial Plaza Nursing Home Inc is 1962503318. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Linwood Village Nursing & Retirement Apartments.

Where is Colonial Plaza Nursing Home Inc located?

Colonial Plaza Nursing Home Inc is located at 530 S Linwood Ave, Cushing, OK 74023. The listed phone number is (918) 743-7838.

What is Colonial Plaza Nursing Home Inc's specialty?

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

Does Colonial Plaza Nursing Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0886171) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colonial Plaza Nursing Home Inc was last updated on July 15, 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.