Okmulgee Terrace, LLC
NPI 1093816100 · Intellectual Disabilities Intermediate Care Facility · Sallisaw, OK
Okmulgee Terrace, LLC is a Intellectual Disabilities Intermediate Care Facility organization in Sallisaw, OK (NPI 1093816100).
Provider details
- NPI number
- 1093816100
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Moran, Business Management(918) 775-4439
- License
- NH5607-5607 (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
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Okmulgee Terrace, LLC's NPI number?
- Okmulgee Terrace, LLC's National Provider Identifier (NPI) is 1093816100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Okmulgee Terrace, LLC?
- Okmulgee Terrace, LLC is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Okmulgee Terrace, LLC located?
- Okmulgee Terrace, LLC's practice location on file with NPPES is 210 East Choctaw Street, Sallisaw, OK 74955-0429.
- What is Okmulgee Terrace, LLC's phone number?
- The practice phone number listed in the NPPES registry for Okmulgee Terrace, LLC is (918) 775-4439.
- Who is the authorized official for Okmulgee Terrace, LLC?
- The authorized official listed on Okmulgee Terrace, LLC's NPPES record is Kevin Moran, Business Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Okmulgee Terrace, LLC's NPI active?
- Yes — Okmulgee Terrace, LLC's NPI (1093816100) 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.