Quail Ridge Living Center Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QUAIL RIDGE LIVING CENTER OPERATING, LLC

Practice address

564 State Line Road
Colcord, OK 74338

Phone

(918) 347-1042

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Dykman

Title

Corporate Compliance

Phone

(228) 875-5447

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1376447318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-410-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 STATE LINE ROAD",
            "city": "COLCORD",
            "state": "OK",
            "postal_code": "74338",
            "telephone_number": "918-347-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL RIDGE LIVING CENTER OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "DYKMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "228-875-5447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marti Leeann Nichols, LBHP
• Geri G Pearce, MEDCCC-SLP
• Bambi Potter
• PWWL Centers, LLC (Physician's Wellness & Weight Loss)
• Quail Ridge Living Center Inc
• Rural Recovery Counseling Services, LLC
• Sequoyah Living Centers, Inc. (Pleasant Springs)
• John Douglas Smiley, DC
• Robin Lindell Stevenson, MD
• Michele Tobey, CNP, SSL

• Skilled Nursing Facility in Colcord, OK
• Providers in Colcord, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.