Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broken Arrow, LLC

Organization Assisted Living Facility · NPI 1063630671

Broken Arrow, LLC is an Assisted Living Facility in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10107 S Garnett Rd
Broken Arrow, OK 74011-1118
Phone: (918) 461-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL7256-7265 (OK)

Record details

NPI number1063630671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — Manager · (503) 485-4600
Other names Cedar Ridge At Broken Arrow
NPI enumeratedApril 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3723 Fairview Industrial Dr Se, Salem, OR 97302-1177

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