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

NPI Status: Active since June 08, 2020

Contact Information

76 RACHEL STREET
BIXBY, OK
ZIP 74008
Phone: (918) 290-3401
Fax: (539) 302-9786

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  • Organization
  • Intermediate Care Facility, Mental Illne...
  • CLIA Number: 37D2288096
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 08-21-2027

About PADDINGTON PLACE COTTAGES 1-4

This page provides the complete NPI Profile along with additional information for Paddington Place Cottages 1-4, a provider established in Bixby, Oklahoma operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1043834849 assigned on June 2020. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Paddington Place Cottages 1-4. The authorized official of this NPI record is Scott D Pilgrim (Managing Member)

NPI
1043834849
Provider Legal Name
PADDINGTON PLACE, LLC
Other Organization Name
PADDINGTON PLACE COTTAGES 1-4
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
76 RACHEL STREET BIXBY, OK 74008
Location Phone
(918) 290-3401
Location Fax
(539) 302-9786
Mailing Address
PO BOX 990 EDMOND, OK 73083
Mailing Phone
(405) 285-8166
Mailing Fax
(539) 302-9786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2020
Last Update Date
08-15-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT D PILGRIM

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(405) 285-8166

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
201013670AMEDICAID (05)OK 
201013680AMEDICAID (05)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2288096
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
August 22, 2025
Certificate Expiration Date
August 21, 2027
Laboratory Director
LAUREN EVANS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Paddington Place Cottages 1-4 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043834849, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 6 + 3 + 8 + 8 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1043834849.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043834849, enumerated as an "organization" on June 08, 2020.

The provider is located at 76 RACHEL STREET BIXBY, OK 74008 and the phone number is (918) 290-3401.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.