Organization · Type 2 NPI

Northwest Incorporated

Skilled Nursing Facility · Oklahoma City, OK

NPI number 1528163391 Active

Practice location

3233 NW 10th St
Oklahoma City, OK 73107-5203

Fax (405) 488-0100

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH5511-5511 (OK)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1528163391
Entity type: Organization (Type 2)
Issued: Sep 14, 2006
Last updated: Feb 5, 2026
Status: Active

Other names

<unavail>
Fairmont · doing business as
Fairmont Skilled Nursing and Therapy · doing business as
Grace Living Center - Northwest Okc · doing business as
Grace Living Center - Northwest Okc · doing business as
Northwest Incorporated · former legal business name

Authorized official

Kristy Deroin
Director of RCM
(405) 943-1144

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528163391

Northwest Incorporated's National Provider Identifier is 1528163391, issued on Sep 14, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 5, 2026.