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Eidetik of Weleetka, LLC

Intellectual Disabilities Intermediate Care Facility in Henryetta, OK · enumerated 2007 · authorized official Laila Beaven, Registered Agent.

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

National Provider Identifier

1386864981

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Registry record

Entity type Organization (Type 2)
Legal business name Eidetik of Weleetka, LLC
Other name <Unavail>
Practice address 1201 W Trudgeon, Henryetta, OK, 74437
Phone (918) 650-9393
Fax (918) 650-0270
Enumeration date Apr 26, 2007
Last updated in NPPES Jan 27, 2023

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 100769950A (OK) Primary

Authorized official

Name Laila Beaven
Title Registered Agent
Phone (270) 389-1919

Other identifiers

Identifier Type State Issuer
100769950A 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

Who is the authorized official for Eidetik of Weleetka, LLC?
NPPES lists Laila Beaven (Registered Agent) as the authorized official for this organization.
What is the NPI number for Eidetik of Weleetka, LLC?
The NPI for Eidetik of Weleetka, LLC is 1386864981, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-27.