WAGONER CARE CENTER
NPI 1225178429
Skilled Nursing Facility in Wagoner, OK

Active since February 07, 2007
205 N LINCOLN AVE, WAGONER, OK 74467(918) 485-2203(918) 485-6673 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wagoner Care Center NPPES

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

WAGONER CARE CENTER (NPI 1225178429) is a healthcare organization registered as a skilled nursing facility in Wagoner, Oklahoma and active in the NPI registry since February 2007. The organization lists Justin Price, Member, as its authorized official.

NPPES Registry Identity

NPI1225178429
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWAGONER CARE CENTER LLC
Location Address205 N LINCOLN AVEWagoner, OK 74467-3915
Mailing Address205 N Lincoln AveWagoner, OK 74467-3915 · (918) 485-2203 · Fax (918) 485-6673
Fax(918) 485-6673
Organization SubpartNo
Authorized OfficialJustin PriceMember · (918) 967-9285
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 20, 2012
✔ NPI 1225178429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in OK · 100771420A
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
205 N LINCOLN AVE, Wagoner, OK 74467

Other Names 1

Doing Business AsWagoner Care Center

Other Identifiers 2

Medicaid100771420AOK
Medicare OSCAR/certification375369OK

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
205 N LINCOLN AVE
WAGONER, OK 74467
Nursing Facility/Intermediate Care Facility
205 N LINCOLN AVE
WAGONER, OK 74467

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 Wagoner Care Center LLC's NPI number?

The NPI number for Wagoner Care Center LLC is 1225178429. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Wagoner Care Center.

Where is Wagoner Care Center LLC located?

Wagoner Care Center LLC is located at 205 N Lincoln Ave, Wagoner, OK 74467. The listed phone number is (918) 485-2203.

What is Wagoner Care Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Wagoner Care Center LLC was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.