Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

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

1912127515

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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

Phone (918) 650-9393

Fax (918) 650-0270

Enumeration date Apr 26, 2007

Last updated in NPPES Dec 21, 2022

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 100769440A (OK) Primary

Authorized official

Name Laila Beaven

Title Registered Agent

Phone (270) 389-1919

Other identifiers

Identifier	Type	State	Issuer
100769440A	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 2022-12-21. Verify at npiregistry.cms.hhs.gov.

Where is Eidetik of Weleetka, LLC located?

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

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-21.