NORTH COUNTY ASSISTED LIVING
NPI 1164825808
Assisted Living Facility in Collinsville, OK

Active since October 08, 2014CLIA 37D2189815 · Waiver
523 N 22ND ST, COLLINSVILLE, OK 74021(918) 371-1919 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North County Assisted Living NPPES

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

NORTH COUNTY ASSISTED LIVING (NPI 1164825808) is a healthcare organization registered as an assisted living facility in Collinsville, Oklahoma and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Lee Pilgrim, Member, as its authorized official.

NPPES Registry Identity

NPI1164825808
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORTH COUNTY SENIOR LIVING LLC
Location Address523 N 22ND STCollinsville, OK 74021-1636
Mailing AddressPo Box 990Edmond, OK 73083-0990 · (405) 285-8166
Organization SubpartNo
Authorized OfficialLee PilgrimMember · (405) 285-8166
Enumeration DateOctober 8, 2014
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
NPI 1164825808 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 · AL7218-7218
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.
523 N 22ND ST, Collinsville, OK 74021

Other Names 1

Doing Business AsNorth County Assisted Living

Other Identifiers 1

Medicaid200509530BOK

CLIA Laboratory Certificates CMS CLIA

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 37D2189815

North County Assisted Living North County Operations ,llc · Collinsville, OK
Active · expires Jun 22, 2027
CLIA Number37D2189815
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDinah Donley
Laboratory Phone(918) 371-1919
Laboratory LocationNorth County Assisted Living North County Operations ,llc523 N 22nd St, Collinsville, OK 74021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
523 N 22ND ST
COLLINSVILLE, OK 74021
Assisted Living Facility
523 N 22ND ST
COLLINSVILLE, OK 74021

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 North County Senior Living LLC's NPI number?

The NPI number for North County Senior Living LLC is 1164825808. It was assigned to this organization in the NPPES registry on October 8, 2014. The provider is doing business as North County Assisted Living.

Where is North County Senior Living LLC located?

North County Senior Living LLC is located at 523 N 22nd St, Collinsville, OK 74021. The listed phone number is (918) 371-1919.

What is North County Senior Living LLC's specialty?

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

Does North County Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2189815) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North County Senior Living LLC was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.