Phoenix Healthcare LLC
NPI 1356454094 · Nursing Facility/Intermediate Care Facility · Grove, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Healthcare LLC is a Nursing Facility/Intermediate Care Facility organization in Grove, OK (NPI 1356454094).
Provider details
- NPI number
- 1356454094
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Phoenix Healthcare LLC
- Organization subpart
- Yes
- Authorized official
- Les Tallman, Administrator(918) 786-3223
- License
- NH2106-2106 (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
- Grove Nursing Center
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Phoenix Healthcare LLC's NPI number?
- Phoenix Healthcare LLC's National Provider Identifier (NPI) is 1356454094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Healthcare LLC?
- Phoenix Healthcare LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix Healthcare LLC located?
- Phoenix Healthcare LLC's practice location on file with NPPES is 1503 Har-Ber Rd, Grove, OK 74344-3525.
- What is Phoenix Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Healthcare LLC is (918) 786-3223.
- Does Phoenix Healthcare LLC accept Medicare?
- Phoenix Healthcare 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 Phoenix Healthcare LLC?
- The authorized official listed on Phoenix Healthcare LLC's NPPES record is Les Tallman, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Healthcare LLC's NPI active?
- Yes — Phoenix Healthcare LLC's NPI (1356454094) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.