OAKRIDGE HOME LLC NPI 1770536013

NPI Information

NPI: 1770536013
Provider Name: OAKRIDGE HOME, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
210 E CHOCTAW AVE
SALLISAW, OK
ZIP 74955
Phone: (918) 775-4439
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OAKRIDGE HOME, LLC is an intermediate care facility mentally retarded in Sallisaw, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OAKRIDGE HOME, LLC NPI is 1770536013. The provider is registered as an organization entity type.

The provider's business location address is:

210 E CHOCTAW AVE
SALLISAW, OK
ZIP 74955-604
Phone: (918) 775-4439
Fax: (918) 775-9242

The provider's authorized official is Justin Mcgrew .
The authorized official title is Business Management and has the following contact phone number (918) 775-4439.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			OKLAHOMA	Yes

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: 5/5/2024

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