LTAC HOSPITAL OF EDMOND, LLC
NPI 1093016818
Long Term Care Hospital in Oklahoma City, OK
NPI Status: Active since November 10, 2010
Contact Information
4300 W MEMORIAL RD FL 2
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 936-5822
Fax: (405) 936-5559
- Organization
- Long Term Care Hospital
- Accepts Insurance
- CLIA Number: 37D2082526
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-17-2026
About LTAC HOSPITAL OF EDMOND, LLC
This page provides the complete NPI Profile along with additional information for Ltac Hospital Of Edmond, Llc, a provider established in Oklahoma City, Oklahoma operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1093016818 assigned on November 2010. The practitioner's primary taxonomy code is 282E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Timothy W. Howard (President)
- NPI
- 1093016818
- Provider Name
- LTAC HOSPITAL OF EDMOND, LLC
- Entity Type
- Organization
- Location Address
- 4300 W MEMORIAL RD FL 2 OKLAHOMA CITY, OK 73120
- Location Phone
- (405) 936-5822
- Location Fax
- (405) 936-5559
- Mailing Address
- 101 LA RUE FRANCE SUITE 500 LAFAYETTE, LA 70508
- Mailing Phone
- (337) 269-9566
- Mailing Fax
- (405) 936-5559
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2010
- Last Update Date
- 01-23-2019
- Code Navigator
According to the Long-Term Care Hospital Compare program data, Ltac Hospital Of Edmond, Llc is a for profit Medicare certified facility with approximately 18 beds. The initial Medicare certification or recertification date of this facility was on 06-01-1993
Location Map
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
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
- Enhanced Diabetes Care Silver with $0 Drug Options - PPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Gold Share - PPO
- Harmony by Medica Gold Share + Adult Eye Exam - PPO
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Long-Term Care Hospital Compare Information
The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.
| Certification Number CMS Certification Number The CMS certification number (CCN) is used to identify the hospital listed. | 372005 |
| Ownership Type Ownership Type Indicates the hospital's ownership type: For Profit, Non-profit, Government | For profit |
| Certification Date Certification Date The initial Medicare certification or recertification date of the hospital. | 06-01-1993 |
| Number of Beds Total Number of Beds The total number of beds in the hospital. | 18 |
| Catheter-associated urinary tract infections (CAUTI) | Better than the National Benchmark |
| Central line-associated bloodstream infections (CLABSI) | No Different than the National Benchmark |
| Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay | 0.0 |
| Clostridium difficile Infection (CDI) | Better than the National Benchmark |
| Influenza Vaccination Coverage Among Healthcare Personnel | 76.5 |
| Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH | No Different than the National Rate |
| Rate of successful return to home and community from an LTCH | No Different than the National Rate |
| Medicare Spending Per Beneficiary (MSPB) in LTCHs | $176 |
| Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified | 99.5 |
| Percentage of patients with pressure ulcers/injuries that are new or worsened | 1.9 |
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
- 37D2082526
- Facility Type
- Hospital
- Certificate Effective Date
- August 18, 2024
- Certificate Expiration Date
- August 17, 2026
- Laboratory Director
- CHRIS MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ltac Hospital Of Edmond, Llc 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 1093016818, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093016818, enumerated as an "organization" on November 10, 2010.
The provider is located at 4300 W MEMORIAL RD FL 2 OKLAHOMA CITY, OK 73120 and the phone number is (405) 936-5822.
Long Term Care Hospital with taxonomy code 282E00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
