Sooner Geriatrics, LLC
NPI 1164527727 · Skilled Nursing Facility · Oklahoma City, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164527727
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Deroin, Director of Reimbursement(405) 943-1144
- License
- NH5501-5501 (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
Other names (DBA / former)
- Doing business as
- Grace Living Center - Wildewood
- Former legal business name
- Sooner Geriatrics, LLC
- Doing business as
- Wildewood Skilled Nursing and Therapy
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.