OrganizationActive
Pioneer Living Center Ops LLC
NPI 1083550776 · Intellectual Disabilities Intermediate Care Facility · Wetumka, OK
Provider details
- NPI number
- 1083550776
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy Baucom, Regional Director(479) 312-8280
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
202 E 1st St
Wetumka, OK 74883-6041
Phone: (405) 452-3205
Street-level locationGet directions
Mailing address
1305 Se Adams St
Idabel, OK 74745-5240
Other names (DBA / former)
- Doing business as
- Heartway at Pioneer Living Center - Aspen Place
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.