OrganizationActive
Blue River Healthcare Inc.
NPI 1528159266 · Nursing Facility/Intermediate Care Facility · Tishomingo, OK
Provider details
- NPI number
- 1528159266
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Vetress Holt, Administrator(580) 371-2636
- License
- NH35013501 (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
1105 E Main St
Tishomingo, OK 73460-2401
Phone: (580) 371-2636
Fax: (580) 371-3890
Street-level locationGet directions
Mailing address
Po Box 157
Tishomingo, OK 73460-0157
Other names (DBA / former)
- Doing business as
- Hillcrest Healthcare
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.