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STATE OF OKLAHOMA HUMAN SERVICES
NPI 1104618412
Intermediate Care Facility, Intellectual Disabilities in Enid, OK

Active since May 21, 2025
2616 NORTH 30TH STREET, ENID, OK 73701(580) 213-2700(580) 358-8013 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Of Oklahoma Human Services NPPES

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

STATE OF OKLAHOMA HUMAN SERVICES (NPI 1104618412), doing business as Robert M. Greer Center/suite C-building 3, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Enid, Oklahoma and active in the NPI registry since May 2025. The organization lists David Ewing, Licensed Nursing Home Administrator, as its authorized official.

NPPES Registry Identity

NPI1104618412
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF OKLAHOMA HUMAN SERVICES
Location Address2616 NORTH 30TH STREETEnid, OK 73701-8760
Mailing Address2616 North 30th StreetEnid, OK 73701-8760 · (580) 213-2700 · Fax (580) 358-8013
Phone(580) 213-2700
Fax(580) 358-8013
Organization SubpartNo
Authorized OfficialDavid EwingLicensed Nursing Home Administrator · (580) 805-1400
Enumeration DateMay 21, 2025
✔ NPI 1104618412 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2616 NORTH 30TH STREET, Enid, OK 73701
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Other Names 1

Doing Business AsRobert M. Greer Center/suite C-building 3

Other Identifiers 1

Medicaid100769310-AOK

Other Providers at the Same Location NPPES 3

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

STATE OF OKLAHOMA HUMAN SERVICES
Intermediate Care Facility, Intellectual Disabilities
2616 NORTH 30TH STREET
ENID, OK 73701
Garfield County (580) 213-2700
STATE OF OKLAHOMA HUMAN SERVICES
Intermediate Care Facility, Intellectual Disabilities
2616 NORTH 30TH STREET, SUITE F BUILDING 5
ENID, OK 73701
Garfield County (580) 213-2700
LIBERTY OF OKLAHOMA CORPORATION
Intermediate Care Facility, Mental Illness
2616 NORTH 30TH STREET
ENID, OK 73701
Garfield County (580) 548-2699

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 State Of Oklahoma Human Services's NPI number?

The NPI number for State Of Oklahoma Human Services is 1104618412. It was assigned to this organization in the NPPES registry on May 21, 2025. The provider is doing business as Robert M. Greer Center/Suite C-Building 3.

Where is State Of Oklahoma Human Services located?

State Of Oklahoma Human Services is located at 2616 North 30th Street, Enid, OK 73701. The listed phone number is (580) 213-2700.

What is State Of Oklahoma Human Services'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 State Of Oklahoma Human Services was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.