WOOD MANOR, INC. (NPI# 1992059398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992059398 |
| Entity Type | Organization |
| Organization Name | WOOD MANOR, INC. |
| Other Organization Name | AUTUMN WOOD |
| Practice Address |
2800 N. Hickory Claremore OK 74017 |
| Mailing Address |
2700 North Hiickory Street P.o. Box 1204 Claremore OK 74018 |
| Practice Telephone | 9182834948 |
| Practice Fax Number | 9182834508 |
| Mailing Telephone | 9182834948 |
| Mailing Fax Number | 9182834508 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | MR. MATTHEW SNYDER (ADMINISTRATOR) |
| Authorized Official Telephone | 9182834948 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOOD MANOR, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | NH6609-6609 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Autumn Wood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922104199 | Wood Manor, Inc. | Nursing Facility/Intermediate Care Facility | 2800 Hickory St, Claremore, OK 74017-1086 | 2006-09-15 |
| Street Address |
2800 N. HICKORY |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1881946697 | Peggy Louise Kelley | Counselor | 1220 S Trenton, Tulsa, OK 74017 | 2012-10-04 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184059982 | Autumn Wood Opco, LLC | Alzheimer Center (Dementia Center) | 2700 N Hickory St, Claremore, OK 74017-1214 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110700 | Bridgewood Okc, LLC | Alzheimer Center (Dementia Center) | 1515 Kingsridge Dr, Oklahoma City, OK 73170-4475 | 2013-05-02 |
| 1366717522 | Christina Richardson | Alzheimer Center (Dementia Center) | 1501 Silveroak Dr, Blanchard, OK 73010-0000 | 2012-03-20 |
| 1215226261 | Cypress Okc Operations, LLC | Alzheimer Center (Dementia Center) | 8300 N May Ave, Oklahoma City, OK 73120-4500 | 2011-03-30 |
| 1972518835 | Phoenix Health Care LLC | Alzheimer Center (Dementia Center) | 225 Sw 35th St, Oklahoma City, OK 73109-6807 | 2006-07-29 |
| 1225084270 | Peak Medical Oklahoma No. 3, Inc. | Alzheimer Center (Dementia Center) | 4300 W Houston St, Broken Arrow, OK 74012-4519 | 2006-05-25 |
| 1356396048 | Peak Medical Oklahoma No. 4, Inc. | Alzheimer Center (Dementia Center) | 5725 S Ross Ave, Oklahoma City, OK 73119-5650 | 2006-05-23 |
| 1124026448 | Fountain View Manor, Inc | Alzheimer Center (Dementia Center) | 107 E Barclay St, Henryetta, OK 74437-5609 | 2005-07-11 |
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| 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.