EIDETIK OF WELEETKA LLC NPI 1821218421

NPI Information

  • NPI: 1821218421
  • Provider Name: EIDETIK OF WELEETKA, LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: THE REACH CORPORATION
  • Address: 1201 W TRUDGEON ST
    HENRYETTA, OK
    ZIP 74437
  • Phone: (918) 650-9393

Map and Directions

Get Directions

NPI Details

EIDETIK OF WELEETKA, LLC is an intermediate care facility mentally retarded in Henryetta, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EIDETIK OF WELEETKA, LLC NPI is 1821218421. The provider is registered as an organization entity type.
The provider Other Name Is The Reach Corporation.

The provider's business location address is:

1201 W TRUDGEON ST
HENRYETTA, OK
ZIP 74437-007
Phone: (918) 650-9393
Fax: (918) 650-0270

The provider's authorized official is Laila Beaven .
The authorized official title is Registered Agent and has the following contact phone number (270) 389-1919.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 12/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities200001110HOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200001110HMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI