Clinton Nursing Center, LLC
NPI 1568567113 · Skilled Nursing Facility · Clinton, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinton Nursing Center, LLC is a Skilled Nursing Facility organization in Clinton, OK (NPI 1568567113).
Provider details
- NPI number
- 1568567113
- 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
- NH2001-2001 (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 - Clinton
- Doing business as
- Grace Living Center - Clinton
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Clinton Nursing Center, LLC's NPI number?
- Clinton Nursing Center, LLC's National Provider Identifier (NPI) is 1568567113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Nursing Center, LLC?
- Clinton Nursing Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clinton Nursing Center, LLC located?
- Clinton Nursing Center, LLC's practice location on file with NPPES is 2400 W Modelle Ave, Clinton, OK 73601-3724.
- What is Clinton Nursing Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinton Nursing Center, LLC is (580) 323-1110.
- Does Clinton Nursing Center, LLC accept Medicare?
- Clinton Nursing Center, 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 Clinton Nursing Center, LLC?
- The authorized official listed on Clinton Nursing Center, 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 Clinton Nursing Center, LLC's NPI active?
- Yes — Clinton Nursing Center, LLC's NPI (1568567113) 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.