Fountain View Manor, Inc
NPI 1124026448 · Skilled Nursing Facility · Henryetta, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fountain View Manor, Inc is a Skilled Nursing Facility organization in Henryetta, OK (NPI 1124026448).
Provider details
- NPI number
- 1124026448
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Clason, Adm.(918) 652-7021
- License
- NH56035603 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
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
- 2005-07-11
- Last updated
- 2013-06-20
Frequently asked questions
- What is Fountain View Manor, Inc's NPI number?
- Fountain View Manor, Inc's National Provider Identifier (NPI) is 1124026448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain View Manor, Inc?
- Fountain View Manor, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fountain View Manor, Inc located?
- Fountain View Manor, Inc's practice location on file with NPPES is 107 E Barclay St, Henryetta, OK 74437-5609.
- What is Fountain View Manor, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fountain View Manor, Inc is (918) 652-7021.
- Does Fountain View Manor, Inc accept Medicare?
- Fountain View Manor, Inc 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 Fountain View Manor, Inc?
- The authorized official listed on Fountain View Manor, Inc's NPPES record is Jennifer Clason, Adm.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain View Manor, Inc's NPI active?
- Yes — Fountain View Manor, Inc's NPI (1124026448) is active in the NPPES registry as of the last update on 2013-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.