TAFT PLACE
NPI 1245450840
Intermediate Care Facility, Intellectual Disabilities in Henryetta, OK

Active since April 26, 2007
1201 W TRUDGEON ST, HENRYETTA, OK 74437(918) 650-9393(918) 650-0270 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Taft Place NPPES

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

TAFT PLACE (NPI 1245450840) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Henryetta, Oklahoma and active in the NPI registry since April 2007. The organization lists Laila Beaven, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1245450840
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEIDETIK OF WELEETKA, LLC
Location Address1201 W TRUDGEON STHenryetta, OK 74437-4007
Mailing Address1201 W. Trudgeon St.Henryetta, OK 74437 · (918) 650-9393 · Fax (918) 650-0270
Fax(918) 650-0270
Organization SubpartYes
Authorized OfficialLaila BeavenRegistered Agent · (270) 389-1919
Enumeration DateApril 26, 2007
Last NPPES UpdateDecember 23, 20222 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
NPI 1245450840 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 · 200001110G
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1201 W TRUDGEON ST, Henryetta, OK 74437

Other Names 2

Doing Business AsTaft Place
Other NameThe Reach Corporation-name To Be Changed To

Other Identifiers 1

Medicaid200001110GOK

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.

Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437

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 Eidetik Of Weleetka, LLC's NPI number?

The NPI number for Eidetik Of Weleetka, LLC is 1245450840. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Taft Place. The provider is also known as The Reach Corporation-name to be changed to.

Where is Eidetik Of Weleetka, LLC located?

Eidetik Of Weleetka, LLC is located at 1201 W Trudgeon St, Henryetta, OK 74437. The listed phone number is (918) 650-9393.

What is Eidetik Of Weleetka, 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 Eidetik Of Weleetka, LLC was last updated on December 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.