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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

1821218421

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Registry record

Entity type Organization (Type 2)
Legal business name Eidetik of Weleetka, LLC
Other name <Unavail>
Parent organization Eidetik of Weleetka, LLC
Practice address 1201 W Trudgeon St, Henryetta, OK, 74437
Fax (918) 650-0270
Enumeration date Apr 26, 2007
Last updated in NPPES Dec 23, 2022

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 200001110H (OK) Primary

Authorized official

Name Laila Beaven
Title Registered Agent

Other identifiers

Identifier Type State Issuer
200001110H 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

What type of organization is Eidetik of Weleetka, LLC?
Eidetik of Weleetka, LLC is registered in NPPES as a Intellectual Disabilities Intermediate Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →
Eidetik of Weleekta, L.L.C. Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1407972045 Eidetik of Weleetka Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1992925598 Eidetik of Weleetka, LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1801016407 Eidetik of Weleetka, LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1710107313 Eidetik of Weleetka, LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1629298229 Eidetik of Weleetka. LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1538389135 Eidetik of Weleetka, LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1518187111 Eidetik of Weleetka, LLC Intellectual Disabilities Intermediate Care Facility · Henryetta, OK NPI 1427278027

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-23.