Eidetik of Weleetka, LLC
NPI 1912127515ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Henryetta, OK
Intermediate Care Facility, Intellectual Disabilities in Henryetta, Oklahoma, registered in NPPES in April 2007, part of Eidetik of Weleetka, LLC. The authorized official on file is Laila Beaven, Registered Agent.
Overview
| NPI | 1912127515 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eidetik of Weleetka, LLC |
| NPI issued | Apr 26, 2007 |
| Last updated in NPPES | Dec 21, 2022 |
| Certified by provider | Dec 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 100769440A | 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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