ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC
NPI 1770788630
Point of Service in Clinton, OK

Q: What is Angelwood Assisted Living & Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since June 19, 2007

3200 HAYES AVE, CLINTON, OK 73601(580) 323-0990(580) 323-0999 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angelwood Assisted Living & Memory Care, Llc NPPES

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

ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC (NPI 1770788630) is a healthcare organization registered as a point of service in Clinton, Oklahoma and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1770788630

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC

Location Address3200 HAYES AVEClinton, OK 73601-3514

Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673

Phone(580) 323-0990

Fax(580) 323-0999

Organization SubpartNo

Authorized OfficialJohn HoltzController · (541) 747-3373

Enumeration DateJune 19, 2007

Last NPPES UpdateMay 13, 2008

✔ NPI 1770788630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3200 HAYES AVE, Clinton, OK 73601

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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.

HOMESTEAD OF CLINTON OPERATIONS LLC

Assisted Living Facility

3200 HAYES AVE
CLINTON, OK 73601

Custer County (580) 470-0609

WC-ANGELWOOD OPS, LLC

Assisted Living Facility

3200 HAYES AVE
CLINTON, OK 73601

Custer County (580) 323-0990

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 Angelwood Assisted Living & Memory Care, LLC's NPI number?

The NPI number for Angelwood Assisted Living & Memory Care, LLC is 1770788630. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Angelwood Assisted Living & Memory Care, LLC located?

Angelwood Assisted Living & Memory Care, LLC is located at 3200 Hayes Ave, Clinton, OK 73601. The listed phone number is (580) 323-0990.

What is Angelwood Assisted Living & Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Angelwood Assisted Living & Memory Care, LLC was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.