PADDINGTON PLACE LCC (NPI# 1043834849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043834849 |
| Entity Type | Organization |
| Organization Name | PADDINGTON PLACE LCC |
| Practice Address |
3225 French Park Drive Suite 6 Edmond OK 73034 |
| Mailing Address |
Po Box 990 Edmond OK 73083-0990 |
| Practice Telephone | 4052858166 |
| Mailing Telephone | 4052858166 |
| Mailing Fax Number | 4055639447 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | SCOTT PILGRIM (MANAGING MEMBER) |
| Authorized Official Telephone | 4052858166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Street Address |
3225 FRENCH PARK DRIVE SUITE 6 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| 1255852414 | Lacey Marie Hill | Nurse Practitioner | 1520 S. Bryant Ave, Edmond, OK 73034 | 2017-06-28 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501499 | Siloam Operations LLC | Intermediate Care Facility, Mental Illness | 3325 French Park Dr Ste 6, Edmond, OK 73034-7265 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972852903 | Carl Albert Community Mental Health Center | Intermediate Care Facility, Mental Illness | 339 W Fillmore Ave, Mcalester, OK 74501-3604 | 2012-09-06 |
| 1316257496 | Arc Group Homes, Inc. | Intermediate Care Facility, Mental Illness | 5120 Jacquelyn Ln, Bartlesville, OK 74006-7732 | 2010-10-07 |
| 1164684957 | Meadow Brook Icf/mr #2 | Intermediate Care Facility, Mental Illness | 1500 Meadow Lane, Howe, OK 74940 | 2008-07-02 |
| 1922005230 | Hill Nursing Home, Inc. | Intermediate Care Facility, Mental Illness | 808 Nw Martin Luther King Ave, Idabel, OK 74745-4268 | 2005-06-30 |
| 1679806392 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2009-09-14 |
| 1619163771 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1508052663 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1871789933 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1760678825 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| 1851587927 | Mccall's Chapel School Inc | Intermediate Care Facility, Mental Illness | 13546 County Road 3600, Ada, OK 74820-5378 | 2007-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.