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SERVANT LIVING CENTER - MEDFORD LLC
NPI 1457374332
Nursing Facility/Intermediate Care Facility in Medford, OK

Active since July 25, 2006
616 S FRONT STREET, MEDFORD, OK 73759(405) 395-2105(405) 395-2070 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 22, 2020, May 29, 2020 (2 updates tracked since 2020).

About Servant Living Center - Medford Llc NPPES

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

SERVANT LIVING CENTER - MEDFORD LLC (NPI 1457374332) is a healthcare organization registered as a nursing facility/intermediate care facility in Medford, Oklahoma and active in the NPI registry since July 2006. The organization lists Scott D Pilgrim, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1457374332
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSERVANT LIVING CENTER - MEDFORD LLC
Location Address616 S FRONT STREETMedford, OK 73759
Mailing Address129 W 1st Street, Suite BEdmond, OK 73003 · (405) 285-8166 · Fax (405) 285-8177
Phone(405) 395-2105
Fax(405) 395-2070
Organization SubpartNo
Authorized OfficialScott D PilgrimManaging Member · (405) 285-8166
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
✔ NPI 1457374332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
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.
616 S FRONT STREET, Medford, OK 73759
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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 Servant Living Center - Medford LLC's NPI number?

The NPI number for Servant Living Center - Medford LLC is 1457374332. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Servant Living Center - Medford LLC located?

Servant Living Center - Medford LLC is located at 616 S Front Street, Medford, OK 73759. The listed phone number is (405) 395-2105.

What is Servant Living Center - Medford LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Servant Living Center - Medford LLC was last updated on August 22, 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.