EPWORTH VILLA
NPI 1114922598
Nursing Facility/Intermediate Care Facility in Oklahoma City, OK

NPI Status: Active since June 14, 2005

Contact Information

14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 752-1200
Fax: (405) 755-5106

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • Accepts Insurance
  • CLIA Number: 37D0471655
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About EPWORTH VILLA

This page provides the complete NPI Profile along with additional information for Epworth Villa, a provider established in Oklahoma City, Oklahoma operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1114922598 assigned on June 2005. The practitioner's primary taxonomy code is 313M00000X with license number CC5504 (OK). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Epworth Villa. The authorized official of this NPI record is Kenneth Lee Bullock (Cfo)

NPI
1114922598
Provider Legal Name
CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC
Other Organization Name
EPWORTH VILLA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14901 N PENNSYLVANIA AVE OKLAHOMA CITY, OK 73134
Location Phone
(405) 752-1200
Location Fax
(405) 755-5106
Mailing Address
14901 N PENNSYLVANIA AVE OKLAHOMA CITY, OK 73134
Mailing Phone
(405) 752-1200
Mailing Fax
(405) 755-5106
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-14-2005
Last Update Date
07-08-2019
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
CC5504
License State
OK
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

CC5504 (OK)

Insurance Plans Accepted

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

  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO

*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

KENNETH LEE BULLOCK

Authorized Official Title
CFO
Authorized Official Phone
(405) 749-3516

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
37D0471655
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MIA P. OWEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Epworth Villa 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.

Reviews for EPWORTH VILLA

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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 1114922598, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 1 → 2 9 → 18 → 9 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 2 + 4 + 5 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114922598.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist (Geriatrics)
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Nurse Practitioner (Gerontology)
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physician Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Nurse Practitioner
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Home Health
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Hospice Care, Community Based
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Medicine & Rehabilitation
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Occupational Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Medicine & Rehabilitation
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Occupational Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Occupational Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Occupational Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Occupational Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Massage Therapist
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134
Physical Therapy Assistant
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114922598, enumerated as an "organization" on June 14, 2005.

The provider is located at 14901 N PENNSYLVANIA AVE OKLAHOMA CITY, OK 73134 and the phone number is (405) 752-1200.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and. Please consult your insurance carrier or call the provider to verify.