Liberty of Oklahoma Corporation
NPI 1104389006ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Tulsa, OK
Intermediate Care Facility, Intellectual Disabilities in Tulsa, Oklahoma, registered in NPPES in April 2019, part of Liberty of Oklahoma Corporation. The authorized official on file is Hugh M. Sage, PHD, Chief Executive Officer.
Overview
| NPI | 1104389006 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty of Oklahoma Corporation |
| NPI issued | Apr 9, 2019 |
| Last updated in NPPES | Apr 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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