Organization · Type 2 NPI

Phoenix Healthcare LLC

Nursing Facility/Intermediate Care Facility · Grove, OK

NPI number 1356454094 Active

Practice location

1503 Har-Ber Rd
Grove, OK 74344-3525

Fax (918) 786-2664

Mailing address

1503 W Har-Ber Rd
Grove, OK 74344

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH2106-2106 (OK)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1356454094

Phoenix Healthcare LLC's National Provider Identifier is 1356454094, issued on Aug 16, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Grove, OK. The record was last updated on May 14, 2026.