Wynnewood Nursing Center LLC
NPI 1063517704 · Skilled Nursing Facility · Wynnewood, OK
Wynnewood Nursing Center LLC is a Skilled Nursing Facility organization in Wynnewood, OK (NPI 1063517704).
Provider details
- NPI number
- 1063517704
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Dimond, Manager(405) 943-1144
- License
- NH2506-2506 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grace Living Center - Wynnewood
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Wynnewood Nursing Center LLC's NPI number?
- Wynnewood Nursing Center LLC's National Provider Identifier (NPI) is 1063517704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wynnewood Nursing Center LLC?
- Wynnewood Nursing Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Wynnewood Nursing Center LLC located?
- Wynnewood Nursing Center LLC's practice location on file with NPPES is 810 E California St, Wynnewood, OK 73098-3207.
- What is Wynnewood Nursing Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Wynnewood Nursing Center LLC is (405) 665-2330.
- Who is the authorized official for Wynnewood Nursing Center LLC?
- The authorized official listed on Wynnewood Nursing Center LLC's NPPES record is Mike Dimond, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wynnewood Nursing Center LLC's NPI active?
- Yes — Wynnewood Nursing Center LLC's NPI (1063517704) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.