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

Eastgate Village LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1083663512

Eastgate Village LLC is a Nursing Facility/Intermediate Care Facility in Muskogee, Oklahoma. Medicare rates this nursing home 2 out of 5. Licensed in Oklahoma.

CMS rating
2 of 5
Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 375190)
Health inspection3.0 / 5
Staffing1.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

3500 Haskell Blvd
Muskogee, OK 74403-3915
Phone: (918) 682-3191
Fax: (918) 682-1131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NH5113-5113 (OK)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence NH5113-5113 (OK)

Record details

NPI number1083663512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fletcher — Administrator · (918) 682-3191
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3500 Haskell Blvd, Muskogee, OK 74403-3915

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