WILSHIRE NURSING HOME LLC (NPI# 1902901861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902901861 |
| Entity Type | Organization |
| Organization Name | WILSHIRE NURSING HOME LLC |
| Other Organization Name | THE WILSHIRE SKILLED NURSING AND THERAPY |
| Practice Address |
505 E Wilshire Blvd Oklahoma City OK 73105-1011 |
| Practice Telephone | 4054780531 |
| Practice Fax Number | 4054783520 |
| Mailing Telephone | 4054780531 |
| Mailing Fax Number | 4054783520 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MIKE DIMOND (MANAGER) |
| Authorized Official Telephone | 4059431144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH5541-5541 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100776920A | 05 |
| Other Name | Type Code |
|---|---|
| Grace Living Center - Wilshire | Doing Business As Name - Organization |
| GRACE LIVING CENTER- WILSHIRE | Doing Business As Name - Organization |
| The Wilshire | Doing Business As Name - Organization |
| The Wilshire Skilled Nursing and Therapy | Doing Business As Name - Organization |
| Street Address |
505 E WILSHIRE BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1376775957 | Manor Care of Oklahoma City (northwest) LLC | Skilled Nursing Facility | 5301 N Brookline Ave, Oklahoma City, OK 73112-3516 | 2009-08-17 |
| 1902030570 | City of Pauls Valley | Skilled Nursing Facility | 2333 Tuscany Blvd, Oklahoma City, OK 73120-3702 | 2009-05-11 |
| 1982885265 | Lutheran Senior Citizens, Inc | Skilled Nursing Facility | 7707 W Britton Rd, Oklahoma City, OK 73132-1512 | 2007-11-15 |
| 1124156153 | Bellecare Inc. | Skilled Nursing Facility | 2801 Nw 61st St, Oklahoma City, OK 73112-7007 | 2007-03-01 |
| 1376610972 | Windsor Hills Nursing Center, LLC | Skilled Nursing Facility | 2416 N Ann Arbor Ave, Oklahoma City, OK 73127-1811 | 2006-11-29 |
| 1407923824 | Warr Acres Nursing Center, LLC | Skilled Nursing Facility | 6501 N Macarthur Blvd, Oklahoma City, OK 73132-6505 | 2006-11-29 |
| 1851487508 | Edwards Redeemer Nursing Center, LLC | Skilled Nursing Facility | 1530 Ne Grand Blvd, Oklahoma City, OK 73117-5212 | 2006-10-04 |
| 1295830933 | Brookwood Nursing Center, LLC | Skilled Nursing Facility | 940 Sw 84th St, Oklahoma City, OK 73139-9255 | 2006-09-14 |
| 1164527727 | Sooner Geriatrics, LLC | Skilled Nursing Facility | 1913 Ne 50th St, Oklahoma City, OK 73111-7003 | 2006-09-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
Please comment or provide details below to improve the information on WILSHIRE NURSING HOME LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.