Parc Place Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARC PLACE OPERATIONS LLC

Practice address

1400 E Memorial Rd
Oklahoma City, OK 73131-1240

Phone

(405) 285-8166

NPI assigned

May 11, 2021

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

(918) 366-4492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375583

Legal name

PARC PLACE OPERATIONS LLC

Doing business as

PARC PLACE MEDICAL RESORT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 9, 2022

Last certification

Apr 25, 2024

Beds

73

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 26, 2018 in OK

Enrollment address

1400 E Memorial Rd
Oklahoma City, OK 73131-1240

Nursing home name

IGNITE MEDICAL RESORT EDMOND, LLC

Listed as

Ignite Medical Resort Edmond, LLCCCN 375583

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 9, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

17369.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Bui, D.O.

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1649653833
  NPD (past)
• Christopher Fisher, MD

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1306333414
  NPD (past)
• Teney John, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1932429131
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jimmy Bui, D.O.

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1649653833

  Nursing home

  Care Compare affiliation
• Teney John, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1932429131

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1801470265",
    "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",
            "fax_number": "405-563-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311240",
            "telephone_number": "405-285-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC PLACE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "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": "918-366-4492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad I Paracha, M.D.
• Taimur Iqbal Paracha, MD
• Paradigm Counseling, Inc.
• Micah Leeann Paradise
• Paramjit Singh Bajaj M.D. Inc
• Parcway
• Jeffrey Paul Pardee, M.D.
• Cesar Pardo Jr., LMSW
• Gabriel Pardo, M.D.
• Kaitlin Elizabeth Pardue, MD

• Skilled Nursing Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.