Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BROOKWOOD NURSING CENTER, LLC
Active
Organization
BROOKWOOD NURSING CENTER, LLC
Active
Other names
GRACE LIVING CENTER - BROOKWOOD, Brookwood Skilled Nursing and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DIMOND (MANAGER)
(405) 943-1144
Entity
Organization
Contact information
Practice address
940 SW 84TH ST, OKLAHOMA CITY, OK 73139-9255
(405) 636-0626
(405) 634-7738
Mailing address
940 SW 84TH ST, OKLAHOMA CITY, OK 73139-9255
(405) 636-0626
(405) 634-7738
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5554-5554
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776930A
—
OK
Enumeration date
09/14/2006
Last updated
10/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers