Healthcare Provider Details

I. General information

NPI: 1245348085
Provider Name (Legal Business Name): VILLAGE HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 S MAIN ST
BROKEN ARROW OK
74012-6502
US

IV. Provider business mailing address

124 S ELM PL
BROKEN ARROW OK
74012-4031
US

V. Phone/Fax

Practice location:
  • Phone: 918-251-5389
  • Fax: 918-258-4736
Mailing address:
  • Phone: 918-251-5389
  • Fax: 918-258-4736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA J SOMMERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-251-5389