OrganizationActive
Wagoner Care Center LLC
NPI 1225178429 · Skilled Nursing Facility · Wagoner, OK
Wagoner Care Center LLC is a Skilled Nursing Facility organization in Wagoner, OK (NPI 1225178429).
Provider details
- NPI number
- 1225178429
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Price, Member(918) 967-9285
- License
- 100771420A (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
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
205 N Lincoln Ave
Wagoner, OK 74467-3915
Phone: (918) 485-2203
Fax: (918) 485-6673
Street-level locationGet directions
Mailing address
205 N Lincoln Ave
Wagoner, OK 74467-3915
Other names (DBA / former)
- Doing business as
- Wagoner Care Center
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2012-01-20
Frequently asked questions
- What is Wagoner Care Center LLC's NPI number?
- Wagoner Care Center LLC's National Provider Identifier (NPI) is 1225178429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Care Center LLC?
- Wagoner Care Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Wagoner Care Center LLC located?
- Wagoner Care Center LLC's practice location on file with NPPES is 205 N Lincoln Ave, Wagoner, OK 74467-3915.
- What is Wagoner Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Care Center LLC is (918) 485-2203.
- Who is the authorized official for Wagoner Care Center LLC?
- The authorized official listed on Wagoner Care Center LLC's NPPES record is Justin Price, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Care Center LLC's NPI active?
- Yes — Wagoner Care Center LLC's NPI (1225178429) is active in the NPPES registry as of the last update on 2012-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.