NPIMap

Organization Active NPI

Servant Living Center-Beggs, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Beggs, OK
National Provider Identifier
1366465247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH5616 Issued in OK
Legal business name
SERVANT LIVING CENTER-BEGGS, LLC
Practice address
306 E 7TH St
Beggs, OK 74421
Phone
(918) 267-3362
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott D Pilgrim
Title
Managing Member
Phone
(405) 285-8166

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NH5601 OK
Intellectual Disabilities Intermediate Care Facility 315P00000X NH5615 OK
Intellectual Disabilities Intermediate Care Facility 315P00000X NH5616 OK Primary

Addresses

Primary practice location

306 E 7TH St
Beggs, OK 74421

Mailing address

129 W 1St St
Suite B
Edmond, OK 73003-5508
Phone (405) 285-8166

National Provider Directory

National Provider Directory
Tax ID family
Country Lane Cottage 16 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

306 E 7th
Beggs, OK 74421
Phone (918) 267-3362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366465247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 1ST ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035508",
            "telephone_number": "405-285-8166",
            "fax_number": "405-285-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 7TH ST",
            "city": "BEGGS",
            "state": "OK",
            "postal_code": "74421",
            "telephone_number": "918-267-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT LIVING CENTER-BEGGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PILGRIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-285-8166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH5601",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH5615",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH5616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beggs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.