EASTGATE VILLAGE LLC
NPI 1083663512
Skilled Nursing Facility in Muskogee, OK
About Eastgate Village Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTGATE VILLAGE LLC (NPI 1083663512) is a healthcare organization registered as a skilled nursing facility in Muskogee, Oklahoma and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Mary Louise Fletcher, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D0880110
Eastgate Village Care & Rehab Center · Muskogee, OKOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MUSKOGEE, OK 74403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastgate Village LLC's NPI number?
The NPI number for Eastgate Village LLC is 1083663512. It was assigned to this organization in the NPPES registry on May 10, 2006.
Where is Eastgate Village LLC located?
Eastgate Village LLC is located at 3500 Haskell Blvd, Muskogee, OK 74403. The listed phone number is (918) 682-3191.
What is Eastgate Village LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Eastgate Village LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D0880110) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eastgate Village LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Eastgate Village LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eastgate Village LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.