OKEMAH CARE CENTER LLC NPI 1437159761

NPI Information

  • NPI: 1437159761
  • Provider Name: OKEMAH CARE CENTER, LLC
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: OKEMAH CARE CENTER
  • CLIA Number: 37D0475911
  • Address: 112 N WOODY GUTHRIE ST
    OKEMAH, OK
    ZIP 74859
  • Phone: (918) 623-1126

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NPI Details

OKEMAH CARE CENTER, LLC is a nursing facility intermediate care facility in Okemah, OK. The provider is 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. OKEMAH CARE CENTER, LLC NPI is 1437159761. The provider is registered as an organization entity type.
The provider Is Doing Business As Okemah Care Center.

The provider's business location address is:

112 N WOODY GUTHRIE ST
OKEMAH, OK
ZIP 74859-642
Phone: (918) 623-1126
Fax: (918) 623-1765

The provider's authorized official is Pam Humphreys .
The authorized official title is Owner and has the following contact phone number (405) 379-0039.

The CLIA number assigned to this NPI record is 37D0475911 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityNH5404-5404OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100778260AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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