Eastgate Village LLC
NPI 1083663512 · Skilled Nursing Facility · Muskogee, OK
Eastgate Village LLC is a Skilled Nursing Facility organization in Muskogee, OK (NPI 1083663512).
Provider details
- NPI number
- 1083663512
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Fletcher, Administrator(918) 682-3191
- License
- NH5113-5113 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2025-09-11
Frequently asked questions
- What is Eastgate Village LLC's NPI number?
- Eastgate Village LLC's National Provider Identifier (NPI) is 1083663512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastgate Village LLC?
- Eastgate Village LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Eastgate Village LLC located?
- Eastgate Village LLC's practice location on file with NPPES is 3500 Haskell Blvd, Muskogee, OK 74403-3915.
- What is Eastgate Village LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastgate Village LLC is (918) 682-3191.
- Who is the authorized official for Eastgate Village LLC?
- The authorized official listed on Eastgate Village LLC's NPPES record is Mary Fletcher, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastgate Village LLC's NPI active?
- Yes — Eastgate Village LLC's NPI (1083663512) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.