EASTGATE VILLAGE LLC – Skilled Nursing Facility, NPI 1083663512

EASTGATE VILLAGE LLC is a healthcare provider. based in Muskogee, Oklahoma. specializing in Skilled Nursing Facility. The organization holds a License No. NH5113-5113 (OK). The NPI Number for EASTGATE VILLAGE LLC is 1083663512

Main info

Organization
Name
EASTGATE VILLAGE LLC
NPI
1083663512
Phone
(918) 682-3191
Address
3500 HASKELL BLVD
Authorized Official
MRS. MARY LOUISE FLETCHER ADMINISTRATOR
Enumeration Date
10 May 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EASTGATE VILLAGE LLC

  • 3500, Haskell Boulevard, Muskogee, Muskogee County, Oklahoma, 74403, United States

    MUSKOGEE, OK 744033915

    Phone: (918) 682-3191

    Fax: (918) 682-1131

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74403)

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Reviews

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Frequently asked questions

What is the standard ID for EASTGATE VILLAGE LLC in the U.S.?
In the U.S., EASTGATE VILLAGE LLC is identified by NPI 1083663512.
Does the public listing show EASTGATE VILLAGE LLC as active?
EASTGATE VILLAGE LLC's NPI record reflects an active status in NPPES.
What services align with EASTGATE VILLAGE LLC's listing?
EASTGATE VILLAGE LLC's public classification highlights Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EASTGATE VILLAGE LLC?
EASTGATE VILLAGE LLC is associated with Muskogee, Oklahoma in the same public data insurers reference.
Can I export EASTGATE VILLAGE LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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