Broken Arrow, LLC
NPI 1063630671 · Assisted Living Facility · Broken Arrow, OK
Broken Arrow, LLC is a Assisted Living Facility organization in Broken Arrow, OK (NPI 1063630671).
Provider details
- NPI number
- 1063630671
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, Manager(503) 485-4600
- License
- AL7256-7265 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Cedar Ridge at Broken Arrow
Registry dates
- Enumerated
- 2007-04-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broken Arrow, LLC's NPI number?
- Broken Arrow, LLC's National Provider Identifier (NPI) is 1063630671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broken Arrow, LLC?
- Broken Arrow, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Broken Arrow, LLC located?
- Broken Arrow, LLC's practice location on file with NPPES is 10107 S Garnett Rd, Broken Arrow, OK 74011-1118.
- What is Broken Arrow, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broken Arrow, LLC is (918) 461-1955.
- Who is the authorized official for Broken Arrow, LLC?
- The authorized official listed on Broken Arrow, LLC's NPPES record is Jon Harder, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broken Arrow, LLC's NPI active?
- Yes — Broken Arrow, LLC's NPI (1063630671) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.