Servant Living Center-Thomas LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH2004-2004 Issued in OK

Legal business name

SERVANT LIVING CENTER-THOMAS LLC

Practice address

601 E Frisco
Thomas, OK 73669

Phone

(580) 661-3260

Fax

(580) 661-3263

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By 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

Mr. Scott D Pilgrim

Title

Managing Member

Phone

(405) 285-8166

Specialties & licenses 1

Addresses

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": "1730102617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 1ST STREET",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73003",
            "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": "601 E FRISCO",
            "city": "THOMAS",
            "state": "OK",
            "postal_code": "73669",
            "telephone_number": "580-661-3260",
            "fax_number": "580-661-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT LIVING CENTER-THOMAS 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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH2004-2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Katherine Niblett, DPT
• Taya Lin Page, M.ED.
• Darla Jean Perry, M.ED., LPC
• Mary Kathryn Ann Pierce
• Jordyn Kaylee Richey
• Allison Sherle, COTA/L
• McKenna Silk, COTA/L
• Darci Stephenson, M.ED
• Abbie Marie Stork, MS
• Karsyn Terrell

• Nursing Facility/Intermediate Care Facility in Thomas, OK
• Providers in Thomas, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• 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.