OrganizationActive
Ok4 Broadway Opco LLC
NPI 1952758294 · Skilled Nursing Facility · Muskogee, OK
Ok4 Broadway Opco LLC is a Skilled Nursing Facility organization in Muskogee, OK (NPI 1952758294).
Provider details
- NPI number
- 1952758294
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Isaac Dole, Manager/Principal(773) 645-9246
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1622 E Broadway St
Muskogee, OK 74403-4601
Phone: (918) 683-2851
Street-level locationGet directions
Mailing address
1622 E Broadway St
Muskogee, OK 74403-4601
Other names (DBA / former)
- Doing business as
- Broadway Manor Nursing Home
Registry dates
- Enumerated
- 2016-05-17
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Frequently asked questions
- What is Ok4 Broadway Opco LLC's NPI number?
- Ok4 Broadway Opco LLC's National Provider Identifier (NPI) is 1952758294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ok4 Broadway Opco LLC?
- Ok4 Broadway Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ok4 Broadway Opco LLC located?
- Ok4 Broadway Opco LLC's practice location on file with NPPES is 1622 E Broadway St, Muskogee, OK 74403-4601.
- What is Ok4 Broadway Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Ok4 Broadway Opco LLC is (918) 683-2851.
- Who is the authorized official for Ok4 Broadway Opco LLC?
- The authorized official listed on Ok4 Broadway Opco LLC's NPPES record is Isaac Dole, Manager/Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ok4 Broadway Opco LLC's NPI active?
- Yes — Ok4 Broadway Opco LLC's NPI (1952758294) is active in the NPPES registry as of the last update on 2024-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.