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Genesis

NPI Record: ActiveResidential Treatment Facility, Physical Disabilities
NPI1306250675
Broken Arrow, Oklahoma

Provider's NPPES record last updated: June 16, 2014

Overview

Entity Type
Organization
NPI
1306250675
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Practice Location
Broken Arrow, Oklahoma
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 6:44 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Residential Treatment Facility, Physical Disabilities

    Residential Treatment Facilities

    Primary

    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

    Taxonomy code 320700000X
  • Nursing Facility/Intermediate Care Facility

    Nursing & Custodial Care Facilities

    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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

    Taxonomy code 313M00000X
  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

    Taxonomy code 320600000X

Provider-Reported License Information

Residential Treatment Facility, Physical Disabilities (Oklahoma)
280
Nursing Facility/Intermediate Care Facility (Oklahoma)
280
Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Oklahoma)
OA280
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

17110 E 51st St

Broken Arrow, Oklahoma 74012-9279

Phone: (918) 851-0737

Record Information

Enumeration Date
June 16, 2014
Provider's NPPES Record Last Updated
June 16, 2014
NPISignal NPPES Dataset
August 2026

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