OrganizationActive
Scg Lake Country LLC
NPI 1033110457 · Skilled Nursing Facility · Marietta, OK
Scg Lake Country LLC is a Skilled Nursing Facility organization in Marietta, OK (NPI 1033110457).
Provider details
- NPI number
- 1033110457
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Vaughan, President(813) 341-2700
- License
- NH4301-4301 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
401 C E Colston Dr
Marietta, OK 73448-1230
Phone: (580) 276-3318
Fax: (580) 276-2100
Street-level locationGet directions
Mailing address
1240 Marbella Plaza Dr.
Tampa, FL 33619-7905
Other names (DBA / former)
- Doing business as
- Lake Country Nursing Center
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2010-01-22
Frequently asked questions
- What is Scg Lake Country LLC's NPI number?
- Scg Lake Country LLC's National Provider Identifier (NPI) is 1033110457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scg Lake Country LLC?
- Scg Lake Country LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Scg Lake Country LLC located?
- Scg Lake Country LLC's practice location on file with NPPES is 401 C E Colston Dr, Marietta, OK 73448-1230.
- What is Scg Lake Country LLC's phone number?
- The practice phone number listed in the NPPES registry for Scg Lake Country LLC is (580) 276-3318.
- Who is the authorized official for Scg Lake Country LLC?
- The authorized official listed on Scg Lake Country LLC's NPPES record is Robert Vaughan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scg Lake Country LLC's NPI active?
- Yes — Scg Lake Country LLC's NPI (1033110457) is active in the NPPES registry as of the last update on 2010-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.