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

OK4 Broadway Opco LLC

Organization Skilled Nursing Facility · NPI 1952758294

OK4 Broadway Opco LLC is a Skilled Nursing Facility in Muskogee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016
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

1622 E Broadway St
Muskogee, OK 74403-4601
Phone: (918) 683-2851
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (OK)

Record details

NPI number1952758294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isaac Dole — Manager/Principal · (773) 645-9246
Other names Broadway Manor Nursing Home
NPI enumeratedMay 17, 2016
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address1622 E Broadway St, Muskogee, OK 74403-4601

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