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PADDINGTON PLACE COTTAGES 1-4
NPI 1043834849
Intermediate Care Facility, Mental Illness in Bixby, OK

Active since June 08, 2020CLIA Certified · 4 labs
76 RACHEL STREET, BIXBY, OK 74008(918) 290-3401(539) 302-9786 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Jun 8, 2020 (2 updates tracked since 2020).

About Paddington Place Cottages 1-4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PADDINGTON PLACE COTTAGES 1-4 (NPI 1043834849) is a healthcare organization registered as an intermediate care facility, mental illness in Bixby, Oklahoma and active in the NPI registry since June 2020. The organization holds 4 active CLIA laboratory certificates and lists Scott D Pilgrim, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1043834849
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NamePADDINGTON PLACE, LLC
Location Address76 RACHEL STREETBixby, OK 74008
Mailing AddressPo Box 990Edmond, OK 73083-0990 · (405) 285-8166 · Fax (405) 563-9447
Phone(918) 290-3401
Fax(539) 302-9786
Organization SubpartNo
Authorized OfficialScott D PilgrimManaging Member · (405) 285-8166
Enumeration DateJune 8, 2020
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1043834849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
76 RACHEL STREET, Bixby, OK 74008
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Other Names 1

Doing Business AsPaddington Place Cottages 1-4

Other Identifiers 2

Medicaid201013670AOK
Medicaid201013680AOK

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2288096

Paddington Place Cottage 4 · Tulsa, OK
Active · expires Aug 21, 2027
CLIA Number37D2288096
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorLauren Evans
Laboratory Phone(918) 290-3401
Laboratory LocationPaddington Place Cottage 410201 S Yale Ave, Tulsa, OK 74137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2231625

Paddington Place Cottage B Paddington Place, LLC · Bixby, OK
Active · expires Aug 3, 2027
CLIA Number37D2231625
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorLauren Evans
Laboratory Phone(405) 285-8166
Laboratory LocationPaddington Place Cottage B Paddington Place, LLC76 W Rachel St, Unit B, Bixby, OK 74008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2231630

Paddington Place Cottage C Paddington Place, LLC · Bixby, OK
Active · expires Aug 3, 2027
CLIA Number37D2231630
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorLauren Evans
Laboratory Phone(405) 285-8166
Laboratory LocationPaddington Place Cottage C Paddington Place, LLC76 W Rachel St, Unit C, Bixby, OK 74008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2218921

Paddington Place Cottage A Paddington Place, LLC · Bixby, OK
Active · expires Mar 30, 2027
CLIA Number37D2218921
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorLauren Evans
Laboratory Phone(405) 285-8166
Laboratory LocationPaddington Place Cottage A Paddington Place, LLC76 W Rachel St, Unit A, Bixby, OK 74008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paddington Place, LLC's NPI number?

The NPI number for Paddington Place, LLC is 1043834849. It was assigned to this organization in the NPPES registry on June 8, 2020. The provider is doing business as Paddington Place Cottages 1-4.

Where is Paddington Place, LLC located?

Paddington Place, LLC is located at 76 Rachel Street, Bixby, OK 74008. The listed phone number is (918) 290-3401.

What is Paddington Place, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Paddington Place, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Paddington Place, LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.