OrganizationActive
Sugar Mountain Retreat, Inc.
NPI 1538299417 · Assisted Living Facility (Mental Illness) · Welling, OK
Provider details
- NPI number
- 1538299417
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Davetta Mcintosh, Administrator(918) 457-4221
- License
- RC 0201-0201 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 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
26403 S 581 Rd
Welling, OK 74471-2303
Phone: (918) 457-4221
Street-level locationGet directions
Mailing address
26403 S 581 Rd
Welling, OK 74471-2303
Registry dates
- Enumerated
- 2007-03-07
- 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.