Eidetik of Weleetka, LLC
NPI 1629298229 · Intellectual Disabilities Intermediate Care Facility · Henryetta, OK
Eidetik of Weleetka, LLC is a Intellectual Disabilities Intermediate Care Facility organization in Henryetta, OK (NPI 1629298229).
Provider details
- NPI number
- 1629298229
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Eidetik of Weleetka, LLC
- Organization subpart
- Yes
- Authorized official
- Laila Beaven, Registered Agent(270) 389-1919
- License
- 200002020A (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
- Lake Place
- Other name
- The Reach Corporation-Name to Be Changed to
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2022-12-23
- Certified
- 2022-12-23
Frequently asked questions
- What is Eidetik of Weleetka, LLC's NPI number?
- Eidetik of Weleetka, LLC's National Provider Identifier (NPI) is 1629298229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eidetik of Weleetka, LLC?
- Eidetik of Weleetka, LLC is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Eidetik of Weleetka, LLC located?
- Eidetik of Weleetka, LLC's practice location on file with NPPES is 1201 W Trudgeon St, Henryetta, OK 74437-4007.
- What is Eidetik of Weleetka, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eidetik of Weleetka, LLC is (918) 650-9393.
- Who is the authorized official for Eidetik of Weleetka, LLC?
- The authorized official listed on Eidetik of Weleetka, LLC's NPPES record is Laila Beaven, Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eidetik of Weleetka, LLC's NPI active?
- Yes — Eidetik of Weleetka, LLC's NPI (1629298229) is active in the NPPES registry as of the last update on 2022-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.