Psg Temple LLC

Psg Temple LLC is a healthcare organization registered as Skilled Nursing Facility in Temple, OK, holding Type 2 (organization) NPI 1053317107 since 2005. The authorized official on file is Lucretia Parkey, Executive Director.

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NPI	1053317107
Entity type	Organization (Type 2)
Legal business name	Psg Temple LLC
Other name	<Unavail>
Practice address	100 GREEN AVE, Temple, OK, 73568
Phone	5803426228
Fax	5803425015
Enumeration date	2005-06-23
Last updated in NPPES	2013-05-30

Authorized official

Name	Lucretia Parkey
Title	Executive Director
Phone	5803426228

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
314000000X	Skilled Nursing Facility	Primary	NH1702	OK

Other identifiers

Identifier	Type	State	Issuer
200102030A	Medicaid	OK	—
200055110C	Medicaid	OK	—

Copy-ready billing details

Provider: Psg Temple LLC
NPI: 1053317107
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 100 GREEN AVE, Temple, OK, 73568

Providers at this address

NPI	Name	Type	Specialty	Location
1437372596	Andrea Rendina	Individual	Occupational Therapy Assistant	Temple, OK

Verify this record

Cross-check NPI 1053317107 against the authoritative CMS record: view Psg Temple LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-30. Verify at npiregistry.cms.hhs.gov.

Where is Psg Temple LLC located?

The practice location on file with NPPES is in Temple, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-05-30.