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

OK4 Eastgate Opco LLC

Organization Skilled Nursing Facility · NPI 1962857482

OK4 Eastgate 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

3500 Haskell Blvd
Muskogee, OK 74403-3915
Phone: (918) 682-3191
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 number1962857482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isaac Dole — Manager/Principal · (773) 645-9246
Other names Eastgate Village Retirement Center
NPI enumeratedMay 3, 2016
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address3500 Haskell Blvd, Muskogee, OK 74403-3915

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