OrganizationActive
Angelwood Assisted Living & Memory Care, LLC
NPI 1770788630 · Point of Service · Clinton, OK
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
18 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.