Organization
CAPITOL HILL NURSING CENTER, LLC
Active
Other names
Capital Hill Skilled Nursing and Therapy, GRACE LIVING CENTER - SOUTHWEST OKC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF REIMBURSEMENT)
(405) 943-1144
Entity
Organization
Contact information
Practice address
2400 SW 55TH ST, OKLAHOMA CITY, OK 73119-6604
(405) 681-5381
(405) 681-3806
Mailing address
2400 SW 55TH ST, OKLAHOMA CITY, OK 73119-6604
(405) 681-5381
(405) 681-3806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5538-5538
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774730A
—
OK
Enumeration date
09/14/2006
Last updated
02/05/2026
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