FIDELIS ASSISTED LIVING AND MEMORY CARE
NPI 1104174267
Assisted Living Facility in Oklahoma City, OK

Active since August 21, 2012
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127(405) 945-0010(405) 947-6542 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fidelis Assisted Living And Memory Care NPPES

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

FIDELIS ASSISTED LIVING AND MEMORY CARE (NPI 1104174267) is a healthcare organization registered as an assisted living facility in Oklahoma City, Oklahoma and active in the NPI registry since August 2012. The organization lists Shantharam Darbe, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1104174267
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIDELIS ONE LLC
Location Address4825 NW 23RD STOklahoma City, OK 73127
Mailing Address4601 N Classen BlvdOklahoma City, OK 73118 · (405) 840-9991 · Fax (405) 840-9998
Fax(405) 947-6542
Organization SubpartNo
Authorized OfficialShantharam DarbeOwner/manager · (405) 840-9991
Enumeration DateAugust 21, 2012
Last NPPES UpdateAugust 24, 2012
NPI 1104174267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in OK · AL5516
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4825 NW 23RD ST, Oklahoma City, OK 73127

Other Names 1

Other NameFidelis Assisted Living And Memory Care

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Substance Abuse Rehabilitation Facility
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Assisted Living Facility
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Peer Specialist
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Substance Abuse Rehabilitation Facility
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Peer Specialist
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Counselor (Addiction (Substance Use Disorder))
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127
Peer Specialist
4825 NW 23RD ST
OKLAHOMA CITY, OK 73127

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 Fidelis One LLC's NPI number?

The NPI number for Fidelis One LLC is 1104174267. It was assigned to this organization in the NPPES registry on August 21, 2012. The provider is also known as Fidelis Assisted Living And Memory Care.

Where is Fidelis One LLC located?

Fidelis One LLC is located at 4825 NW 23rd St, Oklahoma City, OK 73127. The listed phone number is (405) 945-0010.

What is Fidelis One LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fidelis One LLC was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.