Oak Place Living Center, LLC
NPI 1114002987ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Wetumka, OK
Intermediate Care Facility, Intellectual Disabilities in Wetumka, Oklahoma, registered in NPPES in October 2006. The authorized official on file is Donna R. Simmons, Office Manager.
Overview
| NPI | 1114002987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | NH3213-3213 | OK |
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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