EASTGATE VILLAGE RETIREMENT CENTER
NPI 1962857482
Skilled Nursing Facility in Muskogee, OK

Active since May 03, 2016
3500 HASKELL BLVD, MUSKOGEE, OK 74403(918) 682-3191 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastgate Village Retirement Center NPPES

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

EASTGATE VILLAGE RETIREMENT CENTER (NPI 1962857482) is a healthcare organization registered as a skilled nursing facility in Muskogee, Oklahoma and active in the NPI registry since May 2016. The organization lists Isaac Dole, Manager/principal, as its authorized official.

NPPES Registry Identity

NPI1962857482
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOK4 EASTGATE OPCO LLC
Location Address3500 HASKELL BLVDMuskogee, OK 74403-3915
Mailing Address3500 Haskell BlvdMuskogee, OK 74403-3915 · (918) 682-3191
Organization SubpartNo
Authorized OfficialIsaac DoleManager/principal · (773) 645-9246
Enumeration DateMay 3, 2016
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1962857482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
3500 HASKELL BLVD, Muskogee, OK 74403

Other Names 1

Doing Business AsEastgate Village Retirement Center

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Occupational Therapy Assistant
3500 HASKELL BLVD
MUSKOGEE, OK 74403
Skilled Nursing Facility
3500 HASKELL BLVD
MUSKOGEE, OK 74403
Durable Medical Equipment & Medical Supplies
3500 HASKELL BLVD
MUSKOGEE, OK 74403
Skilled Nursing Facility
3500 HASKELL BLVD
MUSKOGEE, OK 74403

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 Ok4 Eastgate Opco LLC's NPI number?

The NPI number for Ok4 Eastgate Opco LLC is 1962857482. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Eastgate Village Retirement Center.

Where is Ok4 Eastgate Opco LLC located?

Ok4 Eastgate Opco LLC is located at 3500 Haskell Blvd, Muskogee, OK 74403. The listed phone number is (918) 682-3191.

What is Ok4 Eastgate Opco LLC's specialty?

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

What insurance does Ok4 Eastgate Opco LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ok4 Eastgate Opco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ok4 Eastgate Opco LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.