Organization · Type 2 NPI

Western Nursing Home LLC

Skilled Nursing Facility · Buffalo, OK

NPI number 1821182270 Active

Practice location

111 Walnut Dr
Buffalo, OK 73834

Fax (580) 735-2165

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH3001-3001 (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…

NPI record

NPI: 1821182270
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Feb 5, 2026
Status: Active

Other names

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Grace Living Center - Buffalo · doing business as
Western Skilled Nursing and Therapy · doing business as

Authorized official

Kristy Deroin
Director of RCM
(405) 943-1144

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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 1821182270

Western Nursing Home LLC's National Provider Identifier is 1821182270, issued on Oct 2, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Buffalo, OK. The record was last updated on Feb 5, 2026.