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St John Villas Inc

Skilled Nursing Facility in Broken Arrow, OK · enumerated 2006 · authorized official Lex Anderson, Treasurer, St John Villa Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073682662

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name St John Villas Inc
Other name <Unavail>
Practice address 17110 E 51st St, Broken Arrow, OK, 74012
Fax (918) 355-1788
Enumeration date Nov 7, 2006
Last updated in NPPES Feb 5, 2009

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License CC7207 (OK) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 37-5525 (OK) Primary

Authorized official

Name Lex Anderson
Title Treasurer, St John Villa Inc

Other identifiers

Identifier Type State Issuer
100774850A Medicaid OK -

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.

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Frequently asked questions

Where is St John Villas Inc located?
The practice location on file with NPPES is in Broken Arrow, OK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-02-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-05.