OrganizationActive
Angelwood Assisted Living & Memory Care, LLC
NPI 1770788630 · Point of Service · Clinton, OK
Angelwood Assisted Living & Memory Care, LLC is a Point of Service organization in Clinton, OK (NPI 1770788630).
Provider details
- NPI number
- 1770788630
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Holtz, Controller(541) 747-3373
Specialties & taxonomies
Managed Care Organizations
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
3200 Hayes Ave
Clinton, OK 73601-3514
Phone: (580) 323-0990
Fax: (580) 323-0999
Street-level locationGet directions
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2008-05-13
Frequently asked questions
- What is Angelwood Assisted Living & Memory Care, LLC's NPI number?
- Angelwood Assisted Living & Memory Care, LLC's National Provider Identifier (NPI) is 1770788630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angelwood Assisted Living & Memory Care, LLC?
- Angelwood Assisted Living & Memory Care, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Angelwood Assisted Living & Memory Care, LLC located?
- Angelwood Assisted Living & Memory Care, LLC's practice location on file with NPPES is 3200 Hayes Ave, Clinton, OK 73601-3514.
- What is Angelwood Assisted Living & Memory Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Angelwood Assisted Living & Memory Care, LLC is (580) 323-0990.
- Who is the authorized official for Angelwood Assisted Living & Memory Care, LLC?
- The authorized official listed on Angelwood Assisted Living & Memory Care, LLC's NPPES record is John Holtz, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angelwood Assisted Living & Memory Care, LLC's NPI active?
- Yes — Angelwood Assisted Living & Memory Care, LLC's NPI (1770788630) is active in the NPPES registry as of the last update on 2008-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.