Oak Lake, LLC
NPI 1154628790ActiveOrganization· Skilled Nursing Facility· Grove, OK
Skilled Nursing Facility in Grove, Oklahoma, registered in NPPES in February 2011. The authorized official on file is Chris Brogdon, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1154628790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2011 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (OK) |
|---|
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