1. Home
  2. Directory
  3. Oklahoma
  4. Henryetta
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

THE REACH CORPORATION
NPI 1710107313
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 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About The Reach Corporation NPPES

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

THE REACH CORPORATION (NPI 1710107313) 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

NPI1710107313
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEIDETIK OF WELEETKA, LLC
Location Address1201 W TRUDGEON STHenryetta, OK 74437-4007
Mailing Address1201 W Trudgeon StHenryetta, OK 74437-4007 · (918) 650-9393 · Fax (918) 650-0270
Phone(918) 650-9393
Fax(918) 650-0270
Organization SubpartNo
Authorized OfficialLaila BeavenRegistered Agent · (270) 389-1919
Enumeration DateApril 26, 2007
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1710107313 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 · 200001110B
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1201 W TRUDGEON ST, Henryetta, OK 74437
Open in Google Maps ↗

Other Names 2

Doing Business AsThe Reach Corporation
Doing Business AsBeverly Place

Other Identifiers 1

Medicaid200001110BOK

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.

EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEEKTA, L.L.C.
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA, LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393
EIDETIK OF WELEETKA. LLC
Intermediate Care Facility, Intellectual Disabilities
1201 W TRUDGEON ST
HENRYETTA, OK 74437
Okmulgee County (918) 650-9393

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 1710107313. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as The Reach Corporation and Beverly Place.

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 21, 2022. 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.