North County Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7218-7218 Issued in OK

Legal business name

NORTH COUNTY SENIOR LIVING LLC

Doing business as

North County Assisted Living

Practice address

523 N 22ND St
Collinsville, OK 74021-1636

Phone

(918) 371-1919

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Lee Pilgrim

Title

Member

Phone

(405) 285-8166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North County Assisted Living Doing business as

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1164825808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830990",
            "telephone_number": "405-285-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 22ND ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211636",
            "telephone_number": "918-371-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "PILGRIM",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-285-8166"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL7218-7218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509530B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome Neal Jr.
• Cassandra Lana Nichols
• Hilary Dawn-Anthony Nicholson, APRN-CNP
• North County Operations LLC
• North County Operations SNF LLC
• North County Senior Living, LLC
• Nurse Cass, LLC
• On Call Pediatrics PLLC
• Allison Ann Owen
• Path of Hope PLLC

• Assisted Living Facility in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.