Azalea Park Manor LLC
NPI 1699870329 · Skilled Nursing Facility · Muskogee, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Azalea Park Manor LLC is a Skilled Nursing Facility organization in Muskogee, OK (NPI 1699870329).
Provider details
- NPI number
- 1699870329
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Deroin, Director of Rcm(405) 943-1144
- License
- NH5106-5106 (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
20 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 - Muskogee
- Doing business as
- Grace Living Center - Muskogee
- Doing business as
- The Springs Skilled Nursing and Therapy
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Azalea Park Manor LLC's NPI number?
- Azalea Park Manor LLC's National Provider Identifier (NPI) is 1699870329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Azalea Park Manor LLC?
- Azalea Park Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Azalea Park Manor LLC located?
- Azalea Park Manor LLC's practice location on file with NPPES is 4717 W Okmulgee St, Muskogee, OK 74401-4657.
- What is Azalea Park Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Azalea Park Manor LLC is (918) 683-2914.
- Does Azalea Park Manor LLC accept Medicare?
- Azalea Park Manor 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 Azalea Park Manor LLC?
- The authorized official listed on Azalea Park Manor LLC's NPPES record is Kristy Deroin, Director of Rcm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Azalea Park Manor LLC's NPI active?
- Yes — Azalea Park Manor LLC's NPI (1699870329) 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.