OrganizationActive
Perry Green Valley Nursing Home LLC
NPI 1003027921 · Skilled Nursing Facility · Perry, OK
Provider details
- NPI number
- 1003027921
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tandie Hastings, Sole Member(405) 282-6285
- License
- NH5202 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1103 Birch St
Perry, OK 73077-6269
Phone: (580) 336-2285
Fax: (580) 336-3445
Street-level locationGet directions
Mailing address
Po Box 1095
Guthrie, OK 73044-1095
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.