Broken Arrow, LLC
Broken Arrow, LLC is a healthcare organization registered as Assisted Living Facility in Broken Arrow, OK, holding Type 2 (organization) NPI 1063630671 since 2007. The authorized official on file is Jon Harder, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063630671 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broken Arrow, LLC |
| Other name | <Unavail> |
| Practice address | 10107 S GARNETT RD, Broken Arrow, OK, 74011 |
| Phone | 9184611955 |
| Enumeration date | 2007-04-22 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jon Harder |
|---|---|
| Title | Manager |
| Phone | 5034854600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | AL7256-7265 | OK |
Copy-ready billing details
Provider: Broken Arrow, LLC NPI: 1063630671 Taxonomy: 310400000X (Assisted Living Facility) Address: 10107 S GARNETT RD, Broken Arrow, OK, 74011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861968992 | Seniorvision of Oklahoma LLC | Organization | Optometrist | Broken Arrow, OK |
Verify this record
Cross-check NPI 1063630671 against the authoritative CMS record: view Broken Arrow, 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
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Where is Broken Arrow, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.