MEDICARE: EL RENO NURSING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	NH0903-0903	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770688319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL RENO NURSING CENTER LLC

Provider Business Mailing Address
First Line	:	1901 PARKVIEW DR
Second Line	:
City	:	EL RENO
State	:	OK
Zip	:	73036-2105
Country	:	US
Telephone Number	:	405-262-2833
Fax Number	:	405-262-2878

Provider Business Practice Location Address
First Line	:	1901 PARKVIEW DR
Second Line	:
City	:	EL RENO
State	:	OK
Zip	:	73036-2105
Country	:	US
Telephone Number	:	405-262-2833
Fax Number	:	405-262-2878

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	KRISTY DEROIN
Credential	:
Telephone Number	:	405-943-1144

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	02/05/2026

Similar Medicare Providers

1780760959 — DR. FRANCINE PATRICIA MANNIX MD
Practice Location Address:

2105 LA FOND DR
RENO, NV
89509-3025

Practice Phone: 775-322-5685
Practice Fax:

1326680752 — EMILY GRAF
Practice Location Address:

8303 CUB CT
RENO, NV
89506-2105

Practice Phone: 608-345-6840
Practice Fax:

1164576120 — BRIAN T. HOLMES, D. C. , A CHIROPRACTIC CORPORATION
Practice Location Address:

2434 FLETCHER PKWY
EL CAJON, CA
92020-2105

Practice Phone: 619-460-6511
Practice Fax: 619-460-6513

1013061068 — DR. BRIAN TODD HOLMES D.C.
Practice Location Address:

2434 FLETCHER PKWY
EL CAJON, CA
92020-2105

Practice Phone: 619-460-6511
Practice Fax: 619-460-6513

1285780320 — ASSOCIATED HOME CARE
Practice Location Address:

117 W CENTRAL AVE
EL DORADO, KS
67042-2105

Practice Phone: 316-320-0473
Practice Fax: 316-320-7704

1164655759 — KEVIN G DALY MPT
Practice Location Address:

1366 EL CAMINO DR
CLAYTON, CA
94517-2105

Practice Phone: 925-673-9355
Practice Fax: 925-673-9357

Directions to “EL RENO NURSING CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.