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OKMULGEE TERRACE, LLC
NPI 1093816100
Intermediate Care Facility, Intellectual Disabilities in Sallisaw, OK

Active since September 25, 2006
210 EAST CHOCTAW STREET, SALLISAW, OK 74955(918) 775-4439(918) 775-9242 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Okmulgee Terrace, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OKMULGEE TERRACE, LLC (NPI 1093816100) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sallisaw, Oklahoma and active in the NPI registry since September 2006. The organization lists Kevin Douglas Moran, Business Management, as its authorized official.

NPPES Registry Identity

NPI1093816100
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameOKMULGEE TERRACE, LLC
Location Address210 EAST CHOCTAW STREETSallisaw, OK 74955-0429
Mailing AddressPo Box 429Sallisaw, OK 74955-0429 · (918) 775-4439 · Fax (918) 775-9242
Phone(918) 775-4439
Fax(918) 775-9242
Organization SubpartNo
Authorized OfficialKevin Douglas MoranBusiness Management · (918) 775-4439
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093816100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OK · NH5607-5607
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

210 EAST CHOCTAW STREET, Sallisaw, OK 74955
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONHL HOME CARE SERVICES
Private Vehicle
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
ONHL HOME CARE SERVICES
Chore Provider
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
OAK GROVE MANOR
Skilled Nursing Facility
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
HAYS HOUSE, LLC
Nursing Facility/Intermediate Care Facility
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
PAWHUSKA NURSING HOME, LLC
Nursing Facility/Intermediate Care Facility
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
ONHL HOME CARE SERVICES
Day Training/Habilitation Specialist
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
OAK VIEW HEALTH SERVICES
Case Management
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439
OAK VIEW HEALTH SERVICES
Day Training, Developmentally Disabled Services
210 EAST CHOCTAW STREET
SALLISAW, OK 74955
Sequoyah County (918) 775-4439

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 Okmulgee Terrace, LLC's NPI number?

The NPI number for Okmulgee Terrace, LLC is 1093816100. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Okmulgee Terrace, LLC located?

Okmulgee Terrace, LLC is located at 210 East Choctaw Street, Sallisaw, OK 74955. The listed phone number is (918) 775-4439.

What is Okmulgee Terrace, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Okmulgee Terrace, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.