SERVANT LIVING CENTER - BEGGS, LLC (NPI# 1194843169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194843169 |
| Entity Type | Organization |
| Organization Name | SERVANT LIVING CENTER - BEGGS, LLC |
| Other Organization Name | COUNTRY LANE COTTAGE #1 |
| Practice Address |
303 E 7th St Beggs OK 74421 |
| Mailing Address |
Po Box 990 Edmond OK 73083 |
| Practice Telephone | 9182673362 |
| Practice Fax Number | 9182673344 |
| Mailing Telephone | 4052858166 |
| Mailing Fax Number | 4052858177 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MR. SCOTT PLIGRIM (MANAGING MEMBER) |
| Authorized Official Telephone | 4052858166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NH5615 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200054610C | 05 |
| Other Name | Type Code |
|---|---|
| Country Lane Cottage #1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376075051 | Servant Living Center - Beggs, LLC | Custodial Care Facility | 511 N Chippewa, Beggs, OK 74421-2053 | 2017-03-31 |
| 1003934076 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 301 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1568580538 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 302 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1912025982 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 304 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| Street Address |
303 E 7TH ST |
| City | BEGGS |
| State | OK |
| Zip Code | 74421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386978740 | Katherine Rene Dossey | Pharmacist | 8054 Hwy 16 #100, Beggs, OK 74421 | 2009-10-01 |
| 1003934076 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 301 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1568580538 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 302 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1366465247 | Servant Living Center-beggs, LLC | Intermediate Care Facility, Mentally Retarded | 306 E 7th St, Beggs, OK 74421 | 2006-07-25 |
| 1588299499 | Natasha D Mcfalls | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2020-03-11 |
| 1447409206 | Kerri Lee Ellis | Nurse Practitioner | 103 E Main St, Beggs, OK 74421 | 2008-09-16 |
| 1912025982 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 304 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1750821658 | Monica Ann Kirkendoll | Nurse Practitioner | 103 E Main St, Beggs, OK 74421-0478 | 2017-02-27 |
| 1952497794 | Kenneth Clayton Kern | Family Medicine | 103 E Main, Beggs, OK 74421-0478 | 2006-10-05 |
| 1497766000 | Clinico LLC | Family Medicine | 103 E Main, Beggs, OK 74421-0478 | 2006-08-10 |
| Find all providers in zip 74421 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934076 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 301 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1568580538 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 302 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| 1366465247 | Servant Living Center-beggs, LLC | Intermediate Care Facility, Mentally Retarded | 306 E 7th St, Beggs, OK 74421 | 2006-07-25 |
| 1912025982 | Servant Living Center - Beggs, LLC | Intermediate Care Facility, Mentally Retarded | 304 E 7th St, Beggs, OK 74421 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959866 | Santa Fe Place LLC | Intermediate Care Facility, Mentally Retarded | 1000 S Santa Fe, Building C, Moore, OK 73160-2469 | 2018-04-11 |
| 1588179600 | Oklahoma Homes for The Developmentally Disabled, LLC | Intermediate Care Facility, Mentally Retarded | 209 E Garber Rd, Garber, OK 73738-1039 | 2017-12-12 |
| 1881055267 | Saint Andre' Bessette | Intermediate Care Facility, Mentally Retarded | 655 West Texas, Okarche, OK 73762-0245 | 2016-03-14 |
| 1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
| 1407225071 | Westview Cottages, Inc | Intermediate Care Facility, Mentally Retarded | 1900 W Harrison Ave, Guthrie, OK 73044-4053 | 2015-09-24 |
| 1407240237 | Fairchild Home and Community Based Services, LLC | Intermediate Care Facility, Mentally Retarded | 205 E Maple, Billings, OK 74630 | 2015-03-18 |
| 1922230341 | Wvl I Lp | Intermediate Care Facility, Mentally Retarded | 2102 West Warner, Guthrie, OK 73044 | 2009-08-18 |
| 1265669667 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1305 E College St, Broken Arrow, OK 74012-4204 | 2009-06-12 |
| 1457501892 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1313 E. College, Broken Arrow, OK 74012 | 2008-09-23 |
| 1972762235 | Loosen Center | Intermediate Care Facility, Mentally Retarded | 6th and Texas, Okarche, OK 73762-0245 | 2008-06-03 |
| 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.