# BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
- **Other names:** T.B. LACKEY HEALTH CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447253240
- **Legal business name:** BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
- **Authorized official:** MR. WENDELL J SHORT (VP PLANNING & PROJECT MANAGEMENT)
- **Authorized official phone:** (405) 942-3000

## Contact information

- **Practice address:** 9700 MASHBURN BLVD, OKLAHOMA CITY, OK 73162-5509
- **Practice address phone:** (405) 721-2466
- **Practice address fax:** (405) 721-0668
- **Mailing address:** 300 JOHNNY BENCH DR STE 400, OKLAHOMA CITY, OK 73104-2470
- **Mailing address phone:** (405) 724-2872
- **Mailing address fax:** (405) 721-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | CC55015501 | OK | Yes |
| 314000000X | Skilled Nursing Facility | CC55015501 | OK | — |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100774330A | — | OK |