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THE REACH CORPORATION THIRD PLACE
NPI 1386864981
Intermediate Care Facility, Intellectual Disabilities in Henryetta, OK

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

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2023, Dec 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About The Reach Corporation Third Place NPPES

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

THE REACH CORPORATION THIRD PLACE (NPI 1386864981) 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 M Beaven, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1386864981
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEIDETIK OF WELEETKA, LLC
Location Address1201 W TRUDGEONHenryetta, OK 74437-4007
Mailing Address1201 W Trudgeon StHenryetta, OK 74437 · (918) 650-9393
Phone(918) 650-9393
Fax(918) 650-0270
Organization SubpartNo
Authorized OfficialLaila M BeavenRegistered Agent · (270) 389-1919
Enumeration DateApril 26, 2007
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1386864981 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 · 100769950A
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1201 W TRUDGEON, Henryetta, OK 74437
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Other Names 1

Doing Business AsThe Reach Corporation Third Place

Other Identifiers 1

Medicaid100769950AOK

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 1386864981. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as The Reach Corporation Third Place.

Where is Eidetik Of Weleetka, LLC located?

Eidetik Of Weleetka, LLC is located at 1201 W Trudgeon, 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 January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.