Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Azalea Park Manor LLC

Skilled Nursing Facility in Muskogee, OK · enumerated 2006 · authorized official Kristy Deroin, Director of Rcm.

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

National Provider Identifier

1699870329

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Registry record

Entity type Organization (Type 2)

Legal business name Azalea Park Manor LLC

Other name <Unavail>

Practice address 4717 W Okmulgee St, Muskogee, OK, 74401

Phone (918) 683-2914

Fax (918) 683-3167

Enumeration date Sep 14, 2006

Last updated in NPPES Feb 5, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH5106-5106 (OK) Primary

Authorized official

Name Kristy Deroin

Title Director of Rcm

Phone (405) 943-1144

Other identifiers

Identifier	Type	State	Issuer
100772250A	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-05. Verify at npiregistry.cms.hhs.gov.

Where is Azalea Park Manor LLC located?

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

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