University Northwest, LLC
NPI 1487759023 · Skilled Nursing Facility · Tahlequah, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
University Northwest, LLC is a Skilled Nursing Facility organization in Tahlequah, OK (NPI 1487759023).
Provider details
- NPI number
- 1487759023
- 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
- NH1101-1101 (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 - University Nw
- Doing business as
- Grace Living Center - University Nw
- Doing business as
- University Park Memory Care Skilled Nursing and Therapy
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is University Northwest, LLC's NPI number?
- University Northwest, LLC's National Provider Identifier (NPI) is 1487759023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University Northwest, LLC?
- University Northwest, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is University Northwest, LLC located?
- University Northwest, LLC's practice location on file with NPPES is 1201 N Vinita Ave, Tahlequah, OK 74464-6429.
- What is University Northwest, LLC's phone number?
- The practice phone number listed in the NPPES registry for University Northwest, LLC is (918) 456-6181.
- Does University Northwest, LLC accept Medicare?
- University Northwest, 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 University Northwest, LLC?
- The authorized official listed on University Northwest, LLC's NPPES record is Kristy Deroin, Director of Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University Northwest, LLC's NPI active?
- Yes — University Northwest, LLC's NPI (1487759023) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.