Wagoner Health & Rehab LLC
NPI 1093186611 · Skilled Nursing Facility · Wagoner, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagoner Health & Rehab LLC is a Skilled Nursing Facility organization in Wagoner, OK (NPI 1093186611).
Provider details
- NPI number
- 1093186611
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bradford Montgomery, Member(479) 715-6759
- License
- NH732 (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
10 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
- Wagoner Health & Rehab
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Wagoner Health & Rehab LLC's NPI number?
- Wagoner Health & Rehab LLC's National Provider Identifier (NPI) is 1093186611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Health & Rehab LLC?
- Wagoner Health & Rehab LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Wagoner Health & Rehab LLC located?
- Wagoner Health & Rehab LLC's practice location on file with NPPES is 205 N Lincoln Ave, Wagoner, OK 74467-3915.
- What is Wagoner Health & Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Health & Rehab LLC is (918) 485-2203.
- Does Wagoner Health & Rehab LLC accept Medicare?
- Wagoner Health & Rehab LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagoner Health & Rehab LLC?
- The authorized official listed on Wagoner Health & Rehab LLC's NPPES record is Bradford Montgomery, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Health & Rehab LLC's NPI active?
- Yes — Wagoner Health & Rehab LLC's NPI (1093186611) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.