OKMULGEE TERRACE, LLC – Intellectual Disabilities Intermediate Care Facility, NPI 1093816100

OKMULGEE TERRACE, LLC is a healthcare provider. based in Sallisaw, Oklahoma. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. NH5607-5607 (OK). The NPI Number for OKMULGEE TERRACE, LLC is 1093816100

Main info

Organization
Name
OKMULGEE TERRACE, LLC
NPI
1093816100
Phone
(918) 775-4439
Address
PO BOX 429
Authorized Official
MR. KEVIN DOUGLAS MORAN BUSINESS MANAGEMENT
Enumeration Date
25 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for OKMULGEE TERRACE, LLC

  • PO BOX 429

    SALLISAW, OK 749550429

    Phone: (918) 775-4439

    Fax: (918) 775-9242

    Type: Mailing

  • 210 EAST CHOCTAW STREET

    SALLISAW, OK 749550429

    Phone: (918) 775-4439

    Fax: (918) 775-9242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 74955)

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Frequently asked questions

How do I look up OKMULGEE TERRACE, LLC by NPI?
Use NPI 1093816100 when you need to reference OKMULGEE TERRACE, LLC in forms, claims, or directories.
Is OKMULGEE TERRACE, LLC active in the national directory?
OKMULGEE TERRACE, LLC's public NPI profile is in an active state.
What does OKMULGEE TERRACE, LLC treat or focus on?
Patients typically see OKMULGEE TERRACE, LLC under the specialty Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What location metadata exists for OKMULGEE TERRACE, LLC?
The page summarizes Sallisaw, Oklahoma for OKMULGEE TERRACE, LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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