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NPI 1447253240 · live from the CMS NPI Registry

Baptist Village Retirement Communities Of Oklahoma INC

Nursing Facility/Intermediate Care Facility in Oklahoma City, OK. National Provider Identifier 1447253240, active.

NPI record

NPI1447253240 Type 2 · organization
StatusActive
Primary specialtyNursing Facility/Intermediate Care Facility 313M00000X
Practice location9700 Mashburn Blvd, Oklahoma City, OK 73162
Practice phone405-721-2466
Mailing address300 Johnny Bench Dr Ste 400, Oklahoma City, OK 73104
EnumeratedMay 24, 2005
Last updatedSeptember 11, 2025
Authorized officialWendell Short, Vp Planning & Project Management
Other namesT.B. Lackey Health Care Center

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility314000000XCC55015501 (OK)
Nursing Facility/Intermediate Care Facility primary313M00000XCC55015501 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.