East Shawnee Nursing Center L L C
NPI 1619072253 · Skilled Nursing Facility · Tahlequah, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Shawnee Nursing Center L L C is a Skilled Nursing Facility organization in Tahlequah, OK (NPI 1619072253).
Provider details
- NPI number
- 1619072253
- 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
- NH1103-1103 (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 - East Shawnee
- Doing business as
- Grace Living Center - East Shawnee
- Doing business as
- Sequoyah Pointe Skilled Nursing and Therapy
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Frequently asked questions
- What is East Shawnee Nursing Center L L C's NPI number?
- East Shawnee Nursing Center L L C's National Provider Identifier (NPI) is 1619072253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Shawnee Nursing Center L L C?
- East Shawnee Nursing Center L L C is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is East Shawnee Nursing Center L L C located?
- East Shawnee Nursing Center L L C's practice location on file with NPPES is 614 E Cherrie St, Tahlequah, OK 74464-3208.
- What is East Shawnee Nursing Center L L C's phone number?
- The practice phone number listed in the NPPES registry for East Shawnee Nursing Center L L C is (918) 456-2573.
- Does East Shawnee Nursing Center L L C accept Medicare?
- East Shawnee Nursing Center L L C 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 East Shawnee Nursing Center L L C?
- The authorized official listed on East Shawnee Nursing Center L L C'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 East Shawnee Nursing Center L L C's NPI active?
- Yes — East Shawnee Nursing Center L L C's NPI (1619072253) is active in the NPPES registry as of the last update on 2025-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.